Active NPI
Newhope Joint & Spine Medical Center
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Westminster, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- A111842
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phuong Q Tien, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2089366 | Newhope Joint & Spine Medical Center | Certificate of waiver | Dec 28, 2026 |
| 05D2214036 | Superior Joint and Spine Medical Center Inc | Certificate of waiver | Feb 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
14120 Beach Blvd
Ste 180
Westminster, CA 92683
Phone (714) 333-3333
Interoperability endpoints
- 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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Westminster, CA
- NPI 1740445154
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.