NPIMap

Organization Active NPI

CM Providers Medical Group, PC

  • Internal Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1497444905
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CM PROVIDERS MEDICAL GROUP, PC
Practice address
1501 Superior Ave Ste 205
Newport Beach, CA 92663-3640
Phone
(866) 433-9943
Fax
(657) 226-2907
NPI assigned
May 2, 2023
Last updated
Aug 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Dr. Tarun Marwaha, MDNPI 1407964976
Title
President
Phone
(866) 433-9943

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

1501 Superior Ave Ste 205
Newport Beach, CA 92663-3640

Mailing address

625 The City Dr S Ste 310
Orange, CA 92868-4949
Phone (866) 433-9943

Other practice location 1

11180 Warner Ave Ste 463
Fountain Valley, CA 92708-7505
Phone (866) 433-9943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230727002167 CA Part B Supplier - Clinic/Group Practice 5294196994 Receives reassigned benefits from 9 practitioners
Practice locations: Orinda, CA; Newport Beach, CA; Fountain Valley, CA

National Provider Directory

National Provider Directory

Locations

625 The City Dr S
Ste 310
Orange, CA 92868
Phone (949) 674-1548

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1497444905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 THE CITY DR S STE 310",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684949",
            "telephone_number": "866-433-9943",
            "fax_number": "657-226-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVE STE 205",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633640",
            "telephone_number": "866-433-9943",
            "fax_number": "657-226-2907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11180 Warner Ave Ste 463",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927087505",
            "country_code": "US",
            "telephone_number": "866-433-9943",
            "fax_number": "657-226-2907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CM PROVIDERS MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "MARWAHA",
        "authorized_official_first_name": "TARUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-433-9943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.