Organization Active NPI

Preventive Healthcare Medical Centers

Doing business as Hoag Executive Health

  • Internal Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1720434681
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G059887 Issued in CA
Legal business name
PREVENTIVE HEALTHCARE MEDICAL CENTERS
Doing business as
Hoag Executive Health
Practice address
500 Superior Ave
Suite 100
Newport Beach, CA 92663-3657
Phone
(949) 566-8414
NPI assigned
May 10, 2016
Last updated
May 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Authorized official

Name
Dr. James Charles Lindberg I, M.D.
Title
President
Phone
(949) 566-8414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G059887 CA Primary

Addresses

Primary practice location

500 Superior Ave
Suite 100
Newport Beach, CA 92663-3657

Mailing address

2100 Main St
Suite 360
Irvine, CA 92614-6237
Phone (949) 566-8414

Other names 1

  • Hoag Executive Health Doing business as

National Provider Directory

National Provider Directory

Locations

2100 Main St
Ste 360
Irvine, CA 92614

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1720434681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MAIN ST",
            "address_2": "SUITE 360",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146237",
            "telephone_number": "949-566-8414",
            "fax_number": "949-872-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUPERIOR AVE",
            "address_2": "SUITE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633657",
            "telephone_number": "949-566-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE HEALTHCARE MEDICAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "LINDBERG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-566-8414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G059887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoag Executive Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 10, 2016; 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.