Active NPI
Newport Neurohospitalist Medical Group Inc
- Neurological Surgery Physician
- Newport Beach, CA
National Provider Identifier
1588801948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- NEWPORT NEUROHOSPITALIST MEDICAL GROUP INC
- Practice address
- 351 Hospital Rd
Suite 401
Newport Beach, CA 92663-3509 - Phone
- (949) 764-1454
- Fax
- (949) 764-1428
- NPI assigned
- Jan 7, 2009
- Last updated
- Aug 14, 2014
- 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
- David Brown
- Title
- Owner
- Phone
- (949) 764-1454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | NU | Primary |
Addresses
Primary practice location
351 Hospital Rd
Suite 401
Newport Beach, CA 92663-3509
Mailing address
PO Box 15847
Newport Beach, CA 92659-5847
Phone (949) 574-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050324000729 | CA | Part B Supplier - Clinic/Group Practice | 9335195148 |
Receives reassigned benefits from 12 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Newport Beach, CA |
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Neurology Physician
- Irvine, CA
- NPI 1225341910
O20050324000729
-
- Neurology Physician
- Newport Beach, CA
- NPI 1669790309
O20050324000729
-
- Neurology Physician
- Irvine, CA
- NPI 1891008686
O20050324000729
-
- Neurology Physician
- Newport Beach, CA
- NPI 1942305412
O20050324000729
-
- Neurological Surgery Physician
- Newport Beach, CA
- NPI 1477858546
O20050324000729
-
- Neuromusculoskeletal Medicine & OMM Physician
- Irvine, CA
- NPI 1508165325
O20050324000729
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407974400000",
"number": "1588801948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15847",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926595847",
"telephone_number": "949-574-4600",
"fax_number": "949-574-4680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 HOSPITAL RD",
"address_2": "SUITE 401",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633509",
"telephone_number": "949-764-1454",
"fax_number": "949-764-1428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWPORT NEUROHOSPITALIST MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-07",
"last_updated": "2014-08-14",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-764-1454"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
- Newport Mental Health Center LLC
- Newport Mesa Audiology Inc
- Newport Mesa Individual and Family Therapy
- Newport Mesa Wellness & Murphy Chiropractic Inc.
- Newport Multi Specialty Surgery Center LLC
- Newport Neurohospitalist Medical Group, Inc
- Newport Neurohospitalist Medical Group, Inc
- Newport Neurohospitalists
- Newport Neurology
- Newport Nurses Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.