Active NPI
Global Premier Fertility - Orange County PC Dba Rise Fertility
- Reproductive Endocrinology Physician
- Newport Beach, CA
National Provider Identifier
1396363552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- Legal business name
- GLOBAL PREMIER FERTILITY - ORANGE COUNTY PC DBA RISE FERTILITY
- Practice address
- 3333 W Coast Hwy Ste 300
Newport Beach, CA 92663-4058 - Phone
- (949) 650-7473
- Fax
- (949) 548-3333
- NPI assigned
- Jul 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Heidi Laura Ozaeta, NP
- Title
- Clinical Manager
- Phone
- (310) 245-6929
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | Primary |
Addresses
Primary practice location
3333 W Coast Hwy Ste 300
Newport Beach, CA 92663-4058
Mailing address
3333 W Coast Hwy Ste 300
Newport Beach, CA 92663-4058
Phone (949) 650-7473
Other names 1
- RISE Fertility
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2294258 | Rise Fertility | Certificate of waiver | Nov 20, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Women's Health Nurse Practitioner
- Costa Mesa, CA
- NPI 1184895492
-
- Reproductive Endocrinology Physician
- Newport Beach, CA
- NPI 1912161233
-
- Reproductive Endocrinology Physician
- Laguna Hills, CA
- NPI 1922021989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594598400000",
"number": "1396363552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 W COAST HWY STE 300",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634058",
"telephone_number": "949-650-7473",
"fax_number": "949-548-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 W COAST HWY STE 300",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634058",
"telephone_number": "949-650-7473",
"fax_number": "949-548-3333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLOBAL PREMIER FERTILITY - ORANGE COUNTY PC DBA RISE FERTILITY",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-13",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A",
"authorized_official_last_name": "OZAETA",
"authorized_official_first_name": "HEIDI",
"authorized_official_middle_name": "LAURA",
"authorized_official_title_or_position": "CLINICAL MANAGER",
"authorized_official_telephone_number": "310-245-6929",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RISE Fertility",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.