Cavender Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CAVENDER MEDICAL CORPORATION

Practice address

361 Hospital Rd Ste 521
Newport Beach, CA 92663-3526

Phone

(949) 939-9557

NPI assigned

Aug 5, 2015

Last updated

Mar 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Keith Cavender, M.D.

Title

Medical Director

Phone

(949) 939-9557

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1497131023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD STE 521",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633526",
            "telephone_number": "949-939-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD STE 521",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633526",
            "telephone_number": "949-939-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVENDER MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "CAVENDER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-939-9557",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joshua Samuel Ceballos, LMT
• Angelica Delval Cecena
• Susan J Cederstrom, M.D.

• Primary Care Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.