Active NPI
Antonio Javier Covarrubias, M.D.
- Vascular Surgery Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- A133142
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Hoag Memorial Hospital Presbyterian
- City of Hope Helford Clinical Research Hospital
- Usc Kenneth Norris Jr Cancer Hospital
- Uci Health-Orange
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.51 of 100
- Quality
- 84.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.24
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Varicose vein removal | 104 |
| Leg revascularization (restoring blood flow) | 49 |
| Removal of tissue | 86 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133142 | CA | MD | Marriage & Family Therapist |
| A133142 | CA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoag Clinic | Current | 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
- https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Primary Care Clinic/Center
- Newport Beach, CA
- NPI 1942799523
-
- Vascular Surgery Physician
- Fountain Valley, CA
- NPI 1225734981
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1689864365
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
-
- General Acute Care Hospital
- Corpus Christi, TX
- NPI 1508810573
-
- Specialist
- Houston, TX
- NPI 1437242617
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Duarte, CA
- NPI 1750358297
-
- Home Health Agency
- Newport Beach, CA
- NPI 1174192892
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417554528
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.