Individual provider Active NPI

Jennifer Alice Armstrong, MD

  • Clinical Pathology Physician
  • Newport Beach, CA
National Provider Identifier
1568848802
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology PhysicianTaxonomy code 207ZC0006X
License
A144516 Issued in CA
Practice address
369 San Miguel Dr Ste 235
Newport Beach, CA 92660-7816
Phone
(949) 706-2887
Fax
(949) 706-2846
NPI assigned
Aug 10, 2015
Last updated
Aug 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 144516 CA
Clinical Pathology Physician 207ZC0006X A144516 CA Primary

Addresses

Primary practice location

369 San Miguel Dr Ste 235
Newport Beach, CA 92660-7816

Mailing address

17 Carmel Bay Dr
Corona del Mar, CA 92625-1006
Phone (949) 648-2907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161219000952 CA Practitioner - General Practice 8325328917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
144516CAMDMarriage & Family Therapist
A144516CAMDClinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Armstrong, M.D., a Professional Corporation Single Specialty Current Accepting new patients
Advanced Skincare Medcenter Inc. Single Specialty CurrentSince Nov 6, 2016 Accepting new patients
Advanced Skincare Surgery Center Current Accepting new patients
Martin H. Kay, PH. D. MD a Medical Corporation Single Specialty Past Accepting new patients

Locations

301 W Bastanchury Rd
Ste 210
Fullerton, CA 92835
Phone (714) 879-9936

369 San Miguel Dr
Ste 235
Newport Beach, CA 92660
Phone (949) 324-0462

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1568848802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CARMEL BAY DR",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251006",
            "telephone_number": "949-648-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 SAN MIGUEL DR STE 235",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607816",
            "telephone_number": "949-706-2887",
            "fax_number": "949-706-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMSTRONG",
        "first_name": "JENNIFER",
        "middle_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "144516",
            "primary": false
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "CA",
            "license": "A144516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.