Individual provider Active NPI

Terra R Safer, MD

  • Internal Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1598894172
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A76957 Issued in CA
Practice address
510 Superior Ave Ste 200B
Newport Beach, CA 92663-3665
Phone
(949) 791-3001
NPI assigned
Mar 2, 2007
Last updated
Sep 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A76957 CA Primary
Pediatrics Physician 208000000X A76957 CA

Addresses

Primary practice location

510 Superior Ave Ste 200B
Newport Beach, CA 92663-3665

Mailing address

510 Superior Ave Ste 200B
Newport Beach, CA 92663-3665

Other practice location 1

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-8068

Other identifiers 1

IdentifierTypeStateIssuer
00A769570MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080423000220 CA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6103904719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of California, Geffen School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hoag ClinicGroup PAC ID 3274872064, 447 clinicians

Practice addresses (Care Compare)

510 Superior Ave
Suite 200C
Newport Beach, CA 92663-3664
Phone (949) 791-3001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A76957CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents Internal Medicine CurrentSince Jan 1, 2007 Accepting new patients
UC Regents CurrentSince Jan 1, 2007 Accepting new patients
UC Regents Current Accepting new patients
Hoag Clinic CurrentSince Mar 1, 2019 Accepting new patients
Davita Medical Group Talbert California, P.C. Internal Medicine Past Accepting new patients
Queen of the Valley Medical Association Past Accepting new patients
University of California Irvine Past Accepting new patients
Hoag Hospital PastSince Mar 1, 2019 Accepting new patients

Locations

360 San Miguel Dr
Ste 105
Newport Beach, CA 92660
Phone (949) 365-3534

510 Superior Ave
Ste 200B
Newport Beach, CA 92663
Phone (800) 400-4624

510 Superior Ave
Ste 200C
Newport Beach, CA 92663

510 Superior Ave
Ste 290
Newport Beach, CA 92663
Phone (949) 764-4500

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533

15000 Kensington Park Dr
Ste 200
Tustin, CA 92782
Phone (714) 477-8310

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1598894172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SUPERIOR AVE STE 200B",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SUPERIOR AVE STE 200B",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633665",
            "telephone_number": "949-791-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 The City Dr S",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683201",
            "country_code": "US",
            "telephone_number": "714-456-8068",
            "fax_number": "714-456-3765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAFER",
        "first_name": "TERRA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A76957",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A76957",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A769570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.