Pacific Innovative Healthcare

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

PACIFIC INNOVATIVE HEALTHCARE

Practice address

1 Hoag Dr
Newport Beach, CA 92663-4162

Phone

(949) 764-4624

NPI assigned

Jun 27, 2019

Organization subpart

No

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

Authorized official

Name

Jacob P Kunes, DO, MBS

Title

Ceo

Phone

(630) 824-7801

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1487215620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 E COLORADO ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908142819",
            "telephone_number": "630-824-7801"
        },
        {
            "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": "949-764-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC INNOVATIVE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "KUNES",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-824-7801",
        "authorized_official_credential": "DO, MBS"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Coast Therapy and Family Counseling Inc.
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• Pacific Dermatology Institute
• Pacific Hospitalist Associates a Medical Corporation
• Pacific Hospitalist Associates a Medical Corporation
• Pacific Interventionalists, Inc.
• Pacific Medical and Wellness Group Inc
• Pacific Medical Supply Inc.
• Pacific Neuropsychiatry and Sleep
• Pacific Obstetrics & Gynecology

• Hospitalist Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.