Individual provider Active NPI

Antonio Javier Covarrubias, M.D.

  • Vascular Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1679834907
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A133142 Issued in CA
Practice address
500 Superior Ave Ste 305
Newport Beach, CA 92663-3660
Phone
(949) 764-8960
Fax
(949) 764-8961
NPI assigned
Jun 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A133142 CA Primary

Addresses

Primary practice location

500 Superior Ave Ste 305
Newport Beach, CA 92663-3660

Mailing address

500 Superior Ave Ste 305
Newport Beach, CA 92663-3660
Phone (949) 764-8960

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
I20191113001609 CA Practitioner - Vascular Surgery 0143511832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2010
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)

1 Hoag Dr
Newport Beach, CA 92663-4162

1031 Avenida Pico
Suite 204
San Clemente, CA 92673-6352
Phone (949) 829-5533

16105 Sand Canyon Ave
Irvine, CA 92618-3780
Phone (949) 764-4060

19582 Beach Blvd
Suite 202
Huntington Beach, CA 92648-2996
Phone (714) 841-9899

500 Superior Ave
Suite 270
Newport Beach, CA 92663-3657
Phone (949) 791-3370

Hospital & facility affiliations

  • Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • City of Hope Helford Clinical Research Hospital Hospital, Duarte, CA, CCN 050146
  • Usc Kenneth Norris Jr Cancer Hospital Hospital, Los Angeles, CA, CCN 050660
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
84.12
Promoting interoperability
100
Improvement activities
40
Cost
74.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal104
Leg revascularization (restoring blood flow)49
Removal of tissue86
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
133142CAMDMarriage & Family Therapist
A133142CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoag Clinic CurrentSince Oct 31, 2023 Accepting new patients
Ancova Inc. Surgery Current Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Bay Area Healthcare Group, LTD. Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Hoag Hospital Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Locations

16405 Sand Canyon Ave
Ste 230
Irvine, CA 92618
Phone (949) 557-0100

1 Hoag Dr
Bldg 31
Newport Beach, CA 92663
Phone (949) 650-3350

520 Superior Ave
Ste 140
Newport Beach, CA 92663
Phone (949) 764-5365

500 Superior Ave
Ste 305
Newport Beach, CA 92663
Phone (949) 764-1843

520 Superior Ave
Ste 300
Newport Beach, CA 92663
Phone (949) 474-5722

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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/
  • Direct secure messaging: acovarrubias532028@direct.memorialcare.org

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1679834907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SUPERIOR AVE STE 305",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633660",
            "telephone_number": "949-764-8960",
            "fax_number": "949-764-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUPERIOR AVE STE 305",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633660",
            "telephone_number": "949-764-8960",
            "fax_number": "949-764-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVARRUBIAS",
        "first_name": "ANTONIO",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A133142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.