Newport Center Orthopedic, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

43188 Issued in CA

Legal business name

NEWPORT CENTER ORTHOPEDIC, INC

Practice address

400 Newport Center Dr
Suite 104
Newport Beach, CA 92660-7601

Phone

(949) 644-0065

NPI assigned

Aug 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stella A Chavos

Title

Owner/President

Phone

(949) 644-0065

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407867575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR",
            "address_2": "SUITE 104",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607601",
            "telephone_number": "949-644-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR",
            "address_2": "SUITE 104",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607601",
            "telephone_number": "949-644-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT CENTER ORTHOPEDIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAVOS",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "949-644-0065"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "43188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Newport Children'S Medical Group

• Durable Medical Equipment & Medical Supplies in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.