Organization Active NPI

Newport Medical Care

  • Family Medicine Physician
  • Tustin, CA
National Provider Identifier
1427218288
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A93587 Issued in CA
Legal business name
NEWPORT MEDICAL CARE
Practice address
13420 Newport Ave
Suite D
Tustin, CA 92780-3745
Phone
(714) 544-6050
NPI assigned
Jun 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Dr. Jerry Jew, MD
Title
Physician/Ceo
Phone
(714) 544-6050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A93587 CA Primary

Addresses

Primary practice location

13420 Newport Ave
Suite D
Tustin, CA 92780-3745

Mailing address

13420 Newport Ave
Suite D
Tustin, CA 92780-3745
Phone (714) 544-6050

National Provider Directory

National Provider Directory

Locations

2680 Saturn Ave
Ste 200
Huntington Park, CA 90255
Phone (323) 587-3882

13420 Newport Ave
Ste D
Tustin, CA 92780
Phone (714) 544-6050

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1427218288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13420 NEWPORT AVE",
            "address_2": "SUITE D",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803745",
            "telephone_number": "714-544-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13420 NEWPORT AVE",
            "address_2": "SUITE D",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803745",
            "telephone_number": "714-544-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "JEW",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "714-544-6050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A93587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.