Organization Active NPI

David C. Herzlinger,M.D.,a Professional Corp

  • Specialist
  • Newport Beach, CA
National Provider Identifier
1710186085
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G26306 Issued in CA
Legal business name
DAVID C. HERZLINGER,M.D.,A PROFESSIONAL CORP
Practice address
1441 Avocado Ave Ste 409
Newport Beach, CA 92660-7705
Phone
(949) 640-4501
Fax
(949) 640-0741
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Authorized official

Name
Dr. David Charles Herzlinger, M.D.
Title
Owner
Phone
(949) 640-4501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G26306 CA Primary

Addresses

Primary practice location

1441 Avocado Ave Ste 409
Newport Beach, CA 92660-7705

Mailing address

1441 Avocado Ave Ste 409
Newport Beach, CA 92660-7705
Phone (949) 640-4501

Other identifiers 1

IdentifierTypeStateIssuer
G26306OtherCAMEDICARE ID

National Provider Directory

National Provider Directory

Locations

1441 Avocado Ave
Ste 409
Newport Beach, CA 92660
Phone (949) 640-4501

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1710186085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE STE 409",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607705",
            "telephone_number": "949-640-4501",
            "fax_number": "949-640-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE STE 409",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607705",
            "telephone_number": "949-640-4501",
            "fax_number": "949-640-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C. HERZLINGER,M.D.,A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "HERZLINGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-640-4501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G26306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "G26306",
            "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 May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.