Individual provider Active NPI

Andrew S Iraniha, M.D.,F.A.C.S

  • Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1700887833
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A55391 Issued in CA
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A55391OtherCASTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Colonoscopy1-10
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

LicenseStateTypeSpecialty
A55391CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.