NPIMap

Organization Active NPI

Optilife, Inc.

  • Psychiatry Physician
  • Newport Beach, CA
National Provider Identifier
1598891848
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G21681 Issued in CA
Legal business name
OPTILIFE, INC.
Practice address
1400 Quail St
Suite 150
Newport Beach, CA 92660-2730
Phone
(714) 520-9759
Fax
(949) 442-1664
NPI assigned
Feb 23, 2007
Last updated
Jan 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Authorized official

Name
Dr. Geoffrey A.W. Dibella, M.D.NPI 1982730230
Title
Owner
Phone
(714) 520-9759

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G21681 CA Primary

Addresses

Primary practice location

1400 Quail St
Suite 150
Newport Beach, CA 92660-2730

Mailing address

1400 Quail St
Suite 150
Newport Beach, CA 92660-2730
Phone (714) 520-9759

National Provider Directory

National Provider Directory

Locations

1400 Quail St
Ste 150
Newport Beach, CA 92660
Phone (714) 520-9759

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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1598891848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 QUAIL ST",
            "address_2": "SUITE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602730",
            "telephone_number": "714-520-9759",
            "fax_number": "949-442-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 QUAIL ST",
            "address_2": "SUITE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602730",
            "telephone_number": "714-520-9759",
            "fax_number": "949-442-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTILIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "DIBELLA",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "A.W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-520-9759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G21681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.