NPIMap

Organization Active NPI

Newport Care Medical Group, Inc

  • Orthopaedic Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1528401783
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NEWPORT CARE MEDICAL GROUP, INC
Practice address
441 Old Newport Blvd
Newport Beach, CA 92663-4233
Phone
(949) 491-9991
Fax
(949) 612-9795
NPI assigned
Apr 8, 2013
Last updated
Nov 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Kasra Rowshan, M.D.NPI 1942463112
Title
Spine Surgeon, Owner
Phone
(949) 491-9991

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary
Orthopaedic Surgery of the Spine Physician 207XS0117X A92732 CA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A97592 CA
Physical Medicine & Rehabilitation Physician 208100000X A106704 CA
Physical Therapist 225100000X CA
Rehabilitation Chiropractor 111NR0400X NU

Addresses

Primary practice location

441 Old Newport Blvd
Newport Beach, CA 92663-4233

Mailing address

441 Old Newport Blvd
Newport Beach, CA 92663-4233
Phone (949) 491-9991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131205000911 CA Part B Supplier - Clinic/Group Practice 6901033521 Receives reassigned benefits from 30 practitioners
Practice locations: Riverside, CA; Placentia, CA; Orange, CA; Murrieta, CA; Long Beach, CA; Newport Beach, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1386 W 7th St
Ste 306
San Pedro, CA 90732

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1528401783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 OLD NEWPORT BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634233",
            "telephone_number": "949-491-9991",
            "fax_number": "949-612-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 OLD NEWPORT BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634233",
            "telephone_number": "949-491-9991",
            "fax_number": "949-612-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT CARE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "ROWSHAN",
        "authorized_official_first_name": "KASRA",
        "authorized_official_title_or_position": "SPINE SURGEON, OWNER",
        "authorized_official_telephone_number": "949-491-9991",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A92732",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A97592",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A106704",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NU",
            "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 Nov 6, 2024; 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.