Organization Active NPI

Richard B Doering M D Inc

  • Vascular Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1740498112
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A28899 Issued in CA
Legal business name
RICHARD B DOERING M D INC
Practice address
351 Hospital Rd
Ste 401
Newport Beach, CA 92663-3509
Phone
(949) 631-6002
Fax
(949) 631-6982
NPI assigned
May 18, 2007
Last updated
Mar 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Authorized official

Name
Richard B Doering, M.DNPI 1699734897
Title
Owner/President
Phone
(949) 631-6002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A28899 CA Primary

Addresses

Primary practice location

351 Hospital Rd
Ste 401
Newport Beach, CA 92663-3509

Mailing address

PO Box 1218
Newport Beach, CA 92659-0218
Phone (949) 631-6002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090428000587 CA Part B Supplier - Clinic/Group Practice 6800944968 Receives reassigned benefits from 1 practitioner
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

8311 Westminster Blvd
Ste 340D
Westminster, CA 92683

Practitioners & affiliated clinicians

Practitioners 1

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1740498112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1218",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926590218",
            "telephone_number": "949-631-6002",
            "fax_number": "949-631-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL RD",
            "address_2": "STE 401",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633509",
            "telephone_number": "949-631-6002",
            "fax_number": "949-631-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD B DOERING M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "DOERING",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "949-631-6002",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A28899",
            "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 Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.