Newport Coast Vein Care, Inc.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

3783857 Issued in CA

Legal business name

NEWPORT COAST VEIN CARE, INC.

Practice address

447 Old Newport Blvd
Suite 200
Newport Beach, CA 92663-4257

Phone

(949) 612-8676

Fax

(949) 200-9695

NPI assigned

Jan 11, 2016

Last updated

Jan 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Aidan Aloysius Raney, M.D.

Title

President

Phone

(949) 612-8676

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1548626294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 OLD NEWPORT BLVD",
            "address_2": "SUITE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634257",
            "telephone_number": "949-612-8676",
            "fax_number": "949-200-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 OLD NEWPORT BLVD",
            "address_2": "SUITE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634257",
            "telephone_number": "949-612-8676",
            "fax_number": "949-200-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT COAST VEIN CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "RANEY",
        "authorized_official_first_name": "AIDAN",
        "authorized_official_middle_name": "ALOYSIUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-612-8676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "3783857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vascular Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.