Individual provider Active NPI

Neal Washburn, DO

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Mission Viejo, CA
National Provider Identifier
1487067369
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
20A13813 Issued in CA
Practice address
26401 Crown Valley Pkwy Ste 101
Mission Viejo, CA 92691-6302
Phone
(949) 348-4000
Fax
(949) 348-7466
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 20A13813 CA Primary

Addresses

Primary practice location

26401 Crown Valley Pkwy Ste 101
Mission Viejo, CA 92691-6302

Mailing address

18800 Delaware St Ste 1000
Huntington Beach, CA 92648-6097
Phone (714) 848-9319

Other practice location 1

1400 Locust St
Pittsburgh, PA 15219-5114
Phone (412) 232-8949

Other practice location 2

18800 Delaware St Ste 1000
Huntington Beach, CA 92648-6097
Phone (714) 848-9319

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
I20180803002727 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 5991013435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Sports Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Orthopedic Medical GroupGroup PAC ID 2365426517, 17 clinicians

Practice addresses (Care Compare)

26471 Crown Valley Pkwy
Suite 101
Mission Viejo, CA 92691-6378
Phone (949) 348-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13813CAMDAcupuncturist
20A13813CAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
360 Sports, Spine and Wellness, Inc. Sports Medicine CurrentSince Jul 3, 2018 Accepting new patients
Community Orthopedic Medical Group CurrentSince Apr 1, 2023 Accepting new patients
Hoag Hospital Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Upmc East Past Accepting new patients

Locations

18800 Delaware St
Ste 1000
Huntington Beach, CA 92648
Phone (714) 848-9319

26401 Crown Valley Pkwy
Ste 101
Mission Viejo, CA 92691
Phone (949) 348-4000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1487067369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 DELAWARE ST STE 1000",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486097",
            "telephone_number": "714-848-9319",
            "fax_number": "714-847-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26401 CROWN VALLEY PKWY STE 101",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916302",
            "telephone_number": "949-348-4000",
            "fax_number": "949-348-7466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Locust St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152195114",
            "country_code": "US",
            "telephone_number": "412-232-8949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18800 Delaware St Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926486097",
            "country_code": "US",
            "telephone_number": "714-848-9319",
            "fax_number": "714-847-2310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "NEAL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "20A13813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.