Individual provider Active NPI

Bryan Charles Doonan, MD

  • Family Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1427167121
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A78014 Issued in CA
Practice address
360 San Miguel Dr Ste 107
Suite 307
Newport Beach, CA 92660-7815
Phone
(949) 760-8300
Fax
(949) 760-8316
NPI assigned
Aug 29, 2006
Last updated
Apr 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A78014 CA Primary

Addresses

Primary practice location

360 San Miguel Dr Ste 107
Suite 307
Newport Beach, CA 92660-7815

Mailing address

360 San Miguel Dr Ste 107
Suite 307
Newport Beach, CA 92660-7815
Phone (949) 760-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050225000209 CA Practitioner - Family Practice 0749233146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riviera Medical CorporationGroup PAC ID 0244311942, 8 clinicians

Practice addresses (Care Compare)

360 San Miguel Dr
Suite 107
Newport Beach, CA 92660-7815
Phone (949) 760-8300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
13.73 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
45.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Riviera Medical Corporation Family Medicine CurrentSince Dec 1, 2008 Accepting new patients
Riviera Medical Corporation Current Accepting new patients
US Covid Clinic Inc. Current Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Locations

360 San Miguel Dr
Ste 107
Newport Beach, CA 92660
Phone (949) 504-8700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJDBDD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1427167121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 107",
            "address_2": "SUITE 307",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607815",
            "telephone_number": "949-760-8300",
            "fax_number": "949-760-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 107",
            "address_2": "SUITE 307",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607815",
            "telephone_number": "949-760-8300",
            "fax_number": "949-760-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOONAN",
        "first_name": "BRYAN",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A78014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.