Active NPI
Frances Suzanne Pach, NP
- Nurse Practitioner
- Newport Beach, CA
National Provider Identifier
1457584682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95006879
- Practice address
- 1 Hoag Dr
Newport Beach, CA 92663-4162 - Phone
- (949) 764-8180
- Fax
- (949) 764-8077
- NPI assigned
- Sep 4, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3931 | SC | |
| Family Nurse Practitioner | 363LF0000X | 95133420 | CA | |
| Nurse Practitioner | 363L00000X | 95006879 | CA | Primary |
Addresses
Primary practice location
1 Hoag Dr
Newport Beach, CA 92663-4162
Mailing address
500 Superior Ave Ste 305
Newport Beach, CA 92663-3660
Phone (949) 764-1843
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP1486 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95006879 | CA | MD | Nurse Practitioner |
| 95133420 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates of the Medical University of South Carol | Nurse Practitioner | Current | Accepting new patients |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients |
Locations
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1457584682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 SUPERIOR AVE STE 305",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633660",
"telephone_number": "949-764-1843",
"fax_number": "949-764-7398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOAG DR",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634162",
"telephone_number": "949-764-8180",
"fax_number": "949-764-8077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACH",
"first_name": "FRANCES",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-04",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "3931",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95133420",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95006879",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP1486",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
- P L Hilpert MD PHD Inc
- P. James Voloshin M.D., Inc
- Evelyn Pablo
- Pace Recovery Center, LLC
- Pace Recovery Center, LLC
- Pacific Center for Plastic Surgery
- Pacific Coast Cardiology Medical Group
- Pacific Coast Medical Group Inc
- Pacific Coast Medicine, a Professional Corporation
- Pacific Coast Physical Therapy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.