Active NPI
Andrew S Iraniha, M.D.,F.A.C.S
- Surgery Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A55391
- Practice address
- 496 Old Newport Blvd
Suite 2
Newport Beach, CA 92663-4264 - Phone
- (949) 646-8444
- Fax
- (949) 646-8388
- NPI assigned
- Aug 10, 2005
- Last updated
- Oct 4, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A55391 | CA | Primary |
Addresses
Primary practice location
496 Old Newport Blvd
Suite 2
Newport Beach, CA 92663-4264
Mailing address
496 Old Newport Blvd
Suite 2
Newport Beach, CA 92663-4264
Phone (949) 646-8444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A55391 | Other | CA | STATE MEDICAL LICENSE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070904000727 | CA | Practitioner - General Surgery | 6507959715 | Practice locations: Newport Beach, CA |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
496 Old Newport Blvd
Suite 2
Newport Beach, CA 92663-4264
Phone (949) 646-8444
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A55391 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Oasis Institute | Surgery | Current | Accepting new patients |
Locations
496 Old Newport Blvd
Ste 2
Newport Beach, CA 92663
Phone (949) 646-8444
Interoperability endpoints
- andrewiraniha@nl.allscriptsdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Professional Anesthesia Group
- Anesthesiology Physician
- Newport Beach, CA
- NPI 1851905483
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
dba West Anaheim Medical Center
- General Acute Care Hospital
- Anaheim, CA
- NPI 1871501916
-
dba La Palma Intercommunity Hospital
- General Acute Care Hospital
- La Palma, CA
- NPI 1417965559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349308800000",
"number": "1700887833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "496 OLD NEWPORT BLVD",
"address_2": "SUITE 2",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634264",
"telephone_number": "949-646-8444",
"fax_number": "949-646-8388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "496 OLD NEWPORT BLVD",
"address_2": "SUITE 2",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634264",
"telephone_number": "949-646-8444",
"fax_number": "949-646-8388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRANIHA",
"first_name": "ANDREW",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.,F.A.C.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2012-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A55391",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "A55391",
"state": "CA"
}
],
"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 Oct 4, 2012; 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.