Organization Active NPI

Newport Surgery Center, LLC

  • General Practice Physician
  • Newport Beach, CA
National Provider Identifier
1467096644
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NEWPORT SURGERY CENTER, LLC
Practice address
400 Newport Center Dr Ste 102
Newport Beach, CA 92660-8602
Phone
(949) 706-0678
NPI assigned
Oct 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Authorized official

Name
Misha Heldt
Title
Offie Manager
Phone
(714) 458-9970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

400 Newport Center Dr Ste 102
Newport Beach, CA 92660-8602

Mailing address

400 Newport Center Dr Ste 102
Newport Beach, CA 92660-8602

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1467096644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608602",
            "telephone_number": "949-706-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-11-01",
        "status": "A",
        "authorized_official_last_name": "HELDT",
        "authorized_official_first_name": "MISHA",
        "authorized_official_title_or_position": "OFFIE MANAGER",
        "authorized_official_telephone_number": "714-458-9970"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 1, 2019; 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.