Active NPI
Newport Partners Surgicenter
- Ambulatory Surgical Clinic/Center
- Newport Beach, CA
National Provider Identifier
1720475155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- A116163
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Newport Orthopedic Institute, a Medical Corporation
- Newport Orthopedic Institute, a Medical Corporation
- Newport Pacific Medical Group Inc
- Newport Pain Management Medical
- Newport Palliative Care, PC
- Newport Pathology
- Newport Pediatrics
- Newport Plastic Surgery Inc
- Newport Psychiatry Inc
- Newport Psychology
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.