Individual provider Active NPI

Kristin E Scord, P.A.

  • Physician Assistant
  • Newport Beach, CA
National Provider Identifier
1528208287
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20048 Issued in CA
Practice address
3900 W Coast Hwy
Suite 300
Newport Beach, CA 92663-4091
Phone
(949) 642-6787
Fax
(949) 642-4833
NPI assigned
Feb 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA20048 CA
Physician Assistant 363A00000X PA20048 CA Primary

Addresses

Primary practice location

3900 W Coast Hwy
Suite 300
Newport Beach, CA 92663-4091

Mailing address

3900 W Coast Hwy
Suite 300
Newport Beach, CA 92663-4091
Phone (949) 642-6787

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090509000027 CA Practitioner - Physician Assistant 8820146426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne Marie McNeill, MD, PHD, IncGroup PAC ID 0749323749, 9 clinicians

Practice addresses (Care Compare)

1441 Avocado Ave
Suite 702
Newport Beach, CA 92660-7708
Phone (949) 706-7886

27512 Calle Arroyo
San Juan Capistrano, CA 92675-2753
Phone (949) 607-7886

Merit-based Incentive Payment System (MIPS)

Final score
94.23 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
20048CAMDAcupuncturist
PA20048CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kristin.fasching.p46@direct.newportmed.nextgenshare.com
  • Direct secure messaging: kristin.fasching.p7@direct.newportmed.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1528208287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W COAST HWY",
            "address_2": "SUITE 300",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634091",
            "telephone_number": "949-642-6787",
            "fax_number": "949-642-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W COAST HWY",
            "address_2": "SUITE 300",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634091",
            "telephone_number": "949-642-6787",
            "fax_number": "949-642-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCORD",
        "first_name": "KRISTIN",
        "middle_name": "E",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA20048",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.