Marc Gregory Cubeiro, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G40805 Issued in CA

Practice address

16100 Sand Canyon Ave
170
Newport Beach, CA 92660

Phone

(949) 387-9700

Fax

(949) 387-3800

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Coast Physical Medicine Inc

  • Physical Medicine & Rehabilitation Physician
  • Fountain Valley, CA
  • NPI 1154720373

  Anesthesiology

  Medicare reassignment NPD Authorized official
• Zen Care Physical Medicine, Inc.

  • Specialist
  • Irvine, CA
  • NPI 1386086239
  Medicare reassignment NPD
• Newport Harbor Anesthesia Consultants Medical Group Inc

  • Anesthesiology Physician
  • Newport Beach, CA
  • NPI 1205885357
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1639119852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE",
            "address_2": "170",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183716",
            "telephone_number": "949-387-9700",
            "fax_number": "949-387-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE",
            "address_2": "170",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-387-9700",
            "fax_number": "949-387-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUBEIRO",
        "first_name": "MARC",
        "middle_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G40805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G408050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry Cruz
• Laila Cruz
• Crystal Cove Dermatology, Inc.
• Zoltan Csuka, MD
• Kellie Cuadras, LMFT
• Kiley Cuene
• Ben Culhane
• Kevin Cullen
• Michael Dale Cully, MD
• Amanda Sandra Culwell

• Anesthesiology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.