Individual provider Active NPI

Cambria Anne Judd, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Newport Beach, CA
National Provider Identifier
1740549278
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
A136590 Issued in CA
Practice address
500 Superior Ave Ste 100
Newport Beach, CA 92663
Phone
(949) 706-3300
NPI assigned
May 3, 2012
Last updated
Nov 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X A136590 CA Primary

Addresses

Primary practice location

500 Superior Ave Ste 100
Newport Beach, CA 92663

Mailing address

2100 Main St Ste 360
Irvine, CA 92614-6265
Phone (949) 566-8414

Other practice location 1

1968 S Coast Hwy # 401
Laguna Beach, CA 92651-3681
Phone (949) 416-3843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150903001191 CA Practitioner - Family PracticePractitioner - Sports Medicine 7113243866 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
84.12
Promoting interoperability
100
Improvement activities
40
Cost
74.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A136590CAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cam MD Single Specialty Current Accepting new patients
Regents of the University of California Single Specialty CurrentSince Jul 14, 2015 Accepting new patients
Regents of the University of California Single Specialty CurrentSince Jul 14, 2015 Accepting new patients
South Coast Medical Center for New Medicine,.Inc Single Specialty CurrentSince May 1, 2017 Accepting new patients
Hoag Clinic Single Specialty CurrentSince Oct 7, 2019 Accepting new patients
Preventive Healthcare Medical Centers Past Accepting new patients

Locations

6 Hughes
Ste 100
Irvine, CA 92618
Phone (949) 680-1880

1968 S Coast Hwy
Laguna Beach, CA 92651
Phone (619) 547-1856

500 Superior Ave
Ste 100
Newport Beach, CA 92663
Phone (949) 706-3300

500 Superior Ave
Ste 160
Newport Beach, CA 92663
Phone (949) 631-8300

1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1740549278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MAIN ST STE 360",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146265",
            "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 STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663",
            "telephone_number": "949-706-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1968 S Coast Hwy # 401",
            "address_purpose": "LOCATION",
            "city": "Laguna Beach",
            "state": "CA",
            "postal_code": "926513681",
            "country_code": "US",
            "telephone_number": "949-416-3843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDD",
        "first_name": "CAMBRIA",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A136590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.