NPIMap

Organization Active NPI

Newport Neurohospitalist Medical Group, Inc

  • Neurology Physician
  • Newport Beach, CA
National Provider Identifier
1669790309
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A88545 Issued in CA
Legal business name
NEWPORT NEUROHOSPITALIST MEDICAL GROUP, INC
Practice address
500 Superior Ave
Suite 305
Newport Beach, CA 92663-3657
Phone
(949) 764-1843
Fax
(949) 764-1865
NPI assigned
May 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Dr. David Brown, M.D
Title
President
Phone
(949) 764-6250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X A88545 CA Primary

Addresses

Primary practice location

500 Superior Ave
Suite 305
Newport Beach, CA 92663-3657

Mailing address

PO Box 15847
Newport Beach, CA 92659-5847
Phone (949) 574-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050324000729 CA Part B Supplier - Clinic/Group Practice 9335195148 Receives reassigned benefits from 12 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newport Beach, CA

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1669790309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15847",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926595847",
            "telephone_number": "949-574-4600",
            "fax_number": "949-574-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUPERIOR AVE",
            "address_2": "SUITE 305",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633657",
            "telephone_number": "949-764-1843",
            "fax_number": "949-764-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT NEUROHOSPITALIST MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-764-6250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A88545",
            "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 May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.