Organization Active NPI

Bridge to Health LLC

Doing business as HealthBridge Newport

  • Internal Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1447741657
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ND-145 Issued in CA
Legal business name
BRIDGE TO HEALTH LLC
Doing business as
HealthBridge Newport
Practice address
20271 SW Birch St Ste 100
Newport Beach, CA 92660-1714
Phone
(949) 715-9321
Fax
(310) 300-0306
NPI assigned
May 23, 2018
Last updated
May 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Dr. Gina Nick
Title
Member
Phone
(949) 842-0641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ND-145 CA Primary

Addresses

Primary practice location

20271 SW Birch St Ste 100
Newport Beach, CA 92660-1714

Mailing address

PO Box 12131
Newport Beach, CA 92658-5053
Phone (949) 842-0641

Other names 1

  • HealthBridge Newport Doing business as

National Provider Directory

National Provider Directory

Locations

20271 SW Birch St
Ste 100
Newport Beach, CA 92660
Phone (949) 336-7293

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1447741657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12131",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926585053",
            "telephone_number": "949-842-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20271 SW BIRCH ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601714",
            "telephone_number": "949-715-9321",
            "fax_number": "310-300-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TO HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "NICK",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "949-842-0641",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "ND-145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthBridge Newport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 23, 2018; 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.