NPIMap

Organization Active NPI

Greater Newport Physicians Anticoagulation Center

  • Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1649576034
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
BT30034380 Issued in CA
Legal business name
GREATER NEWPORT PHYSICIANS ANTICOAGULATION CENTER
Practice address
500 Superior Ave
Suite 150
Newport Beach, CA 92663-3657
Phone
(949) 759-2222
Fax
(949) 999-8154
NPI assigned
Feb 1, 2011
Last updated
Feb 1, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
GREATER NEWPORT PHYSICIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Dr. Andrea Decoro, PHARM.D.
Title
Director of Pharmacy Clinical Serv
Phone
(949) 574-4413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X BT30034380 CA Primary

Addresses

Primary practice location

500 Superior Ave
Suite 150
Newport Beach, CA 92663-3657

Mailing address

500 Superior Ave
Suite 150
Newport Beach, CA 92663-3657
Phone (949) 759-2222

Other names 1

  • Greater Newport Physicians Other name

National Provider Directory

National Provider Directory
Tax ID family
Greater Newport Physicians2 organizations share this tax ID, including this one
Part of
Greater Newport Physicians

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

500 Superior Ave
Ste 150
Newport Beach, CA 92663
Phone (949) 759-2222

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1649576034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SUPERIOR AVE",
            "address_2": "SUITE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633657",
            "telephone_number": "949-759-2222",
            "fax_number": "949-999-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUPERIOR AVE",
            "address_2": "SUITE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633657",
            "telephone_number": "949-759-2222",
            "fax_number": "949-999-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER NEWPORT PHYSICIANS ANTICOAGULATION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREATER NEWPORT PHYSICIANS",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "DECORO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY CLINICAL SERV",
        "authorized_official_telephone_number": "949-574-4413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "BT30034380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Newport Physicians",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 1, 2011; 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.