Organization Active NPI

Newhope Joint & Spine Medical Center

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Westminster, CA
National Provider Identifier
1538563549
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A111842 Issued in CA
Legal business name
NEWHOPE JOINT & SPINE MEDICAL CENTER
Practice address
14120 Beach Blvd Ste 180
Westminster, CA 92683-4454
Phone
(714) 333-3333
Fax
(714) 891-3234
NPI assigned
Oct 20, 2014
Last updated
Apr 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Authorized official

Name
Phuong Q Tien, MDNPI 1740445154
Title
Owner
Phone
(714) 333-3333

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A111842 CA Primary

Addresses

Primary practice location

14120 Beach Blvd Ste 180
Westminster, CA 92683-4454

Mailing address

14120 Beach Blvd Ste 180
Westminster, CA 92683-4454
Phone (714) 333-3333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150422002323 CA Part B Supplier - Clinic/Group Practice 7315265337 Receives reassigned benefits from 1 practitioner
Practice locations: Westminster, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2089366Newhope Joint & Spine Medical Center14120 Beach Blvd Ste 180, Westminster, CA 92683Certificate of waiverDec 28, 2026
05D2214036Superior Joint and Spine Medical Center Inc14120 Beach Blvd Ste 225, Westminster, CA 92683Certificate of waiverFeb 17, 2027

National Provider Directory

National Provider Directory

Locations

14120 Beach Blvd
Ste 180
Westminster, CA 92683
Phone (714) 333-3333

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9912/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1538563549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 BEACH BLVD STE 180",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834454",
            "telephone_number": "714-333-3333",
            "fax_number": "714-891-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14120 BEACH BLVD STE 180",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834454",
            "telephone_number": "714-333-3333",
            "fax_number": "714-891-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWHOPE JOINT & SPINE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "TIEN",
        "authorized_official_first_name": "PHUONG",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-333-3333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A111842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.