Individual provider Active NPI

Jay Ross Zubrin, M.D.

  • Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1639235286
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G10210 Issued in CA
Practice address
351 Hospital Rd
Suite 601
Newport Beach, CA 92663-3509
Phone
(949) 548-2264
Fax
(949) 650-3606
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G10210 CA Primary

Addresses

Primary practice location

351 Hospital Rd
Suite 601
Newport Beach, CA 92663-3509

Mailing address

351 Hospital Rd
Suite 601
Newport Beach, CA 92663-3509
Phone (949) 548-2264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G10210CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James R Wendt M D a Professional Corp PastSince May 28, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639235286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL RD",
            "address_2": "SUITE 601",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633509",
            "telephone_number": "949-548-2264",
            "fax_number": "949-650-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL RD",
            "address_2": "SUITE 601",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633509",
            "telephone_number": "949-548-2264",
            "fax_number": "949-650-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBRIN",
        "first_name": "JAY",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G10210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.