Newport Id, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

A131999 Issued in CA

Legal business name

NEWPORT ID, INC.

Practice address

9215 Residencia
Newport Beach, CA 92660-9066

Phone

(201) 888-3433

NPI assigned

Feb 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Catherine M Koper, M.D.NPI 1245466929

Title

President

Phone

(201) 888-3433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• Catherine Koper, MD

  • Internal Medicine Physician
  • Newport Beach, CA
  • NPI 1245466929
  Medicare reassignment NPD Authorized official
• Khaing Thinzer Myint

  • Infectious Disease Physician
  • Newport Beach, CA
  • NPI 1720430135
  NPD (past)

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1548700313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9215 RESIDENCIA",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926609066",
            "telephone_number": "201-888-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9215 RESIDENCIA",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926609066",
            "telephone_number": "201-888-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT ID, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "KOPER",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-888-3433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "A131999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newport Health Laboratories, Inc
• Newport Heart Medical Group Inc
• Newport Hill Pharmacy Inc (Hill Pharmacy)
• Newport Hill Pharmacy Inc (Hill Pharmacy)
• Newport Home Care Inc (Newport Home Care)
• Newport Institute of Minimally Invasive Surgery
• Newport Institute of the Minimally Invasive Surgery
• Newport Irvine Emergency Specialists
• Newport Medicine Group, Inc.
• Newport Mental Health Center LLC

• Health Service Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.