Individual provider Active NPI

Jane J Xenos, DO

  • Family Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1518045970
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6106 Issued in CA
Practice address
3848 Campus Dr
Suite 108
Newport Beach, CA 92660-2610
Phone
(949) 261-1227
Fax
(949) 261-7027
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A6106 CA Primary

Addresses

Primary practice location

3848 Campus Dr
Suite 108
Newport Beach, CA 92660-2610

Mailing address

PO Box 568
Newport Beach, CA 92661-0568
Phone (949) 261-1227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 24, 2019 through Jun 24, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A6106CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518045970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926610568",
            "telephone_number": "949-261-1227",
            "fax_number": "949-261-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 CAMPUS DR",
            "address_2": "SUITE 108",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602610",
            "telephone_number": "949-261-1227",
            "fax_number": "949-261-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XENOS",
        "first_name": "JANE",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.