Organization Active NPI

Newport Partners Surgicenter

  • Ambulatory Surgical Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1720475155
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A116163 Issued in CA
Legal business name
NEWPORT PARTNERS SURGICENTER
Practice address
2042 Quail St
Newport Beach, CA 92660-2220
Phone
(310) 508-4073
Fax
(877) 785-5469
NPI assigned
Apr 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Dr. Neil Ghodadra, MD
Title
Medical Director
Phone
(678) 596-1344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A116163 CA Primary

Addresses

Primary practice location

2042 Quail St
Newport Beach, CA 92660-2220

Mailing address

2042 Quail Street
Newport Beach, CA 92660
Phone (310) 508-4073

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1720475155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 QUAIL STREET",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "310-508-4073",
            "fax_number": "877-785-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 QUAIL ST",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602220",
            "telephone_number": "310-508-4073",
            "fax_number": "877-785-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT PARTNERS SURGICENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "GHODADRA",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "678-596-1344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A116163",
            "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 Apr 23, 2015; 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.