Active NPI
John Andre, MD
- Plastic Surgery Physician
- Newport Beach, CA
National Provider Identifier
1740608942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A169149
- Practice address
- 3991 Macarthur Blvd Ste 320
Newport Beach, CA 92660-3004 - Phone
- (949) 720-3888
- NPI assigned
- Apr 3, 2014
- Last updated
- Jul 28, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A169149 | CA | |
| Plastic Surgery Physician | 208200000X | A169149 | CA | Primary |
Addresses
Primary practice location
3991 Macarthur Blvd Ste 320
Newport Beach, CA 92660-3004
Mailing address
3991 Macarthur Blvd Ste 320
Newport Beach, CA 92660-3004
Phone (949) 729-3888
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
44311 Monterey Ave
Palm Desert, CA 92260-2710
Phone (760) 773-6616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A169149 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Dermatology and Plastic Surgery Specialists
- Plastic Surgery Physician
- Palm Desert, CA
- NPI 1356770515
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1528488897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1740608942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3991 MACARTHUR BLVD STE 320",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926603004",
"telephone_number": "949-729-3888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3991 MACARTHUR BLVD STE 320",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926603004",
"telephone_number": "949-720-3888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRE",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-03",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A169149",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A169149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
- Justin Bentley Anderson, PA-C
- Natalie M Anderson, LMFT
- Nicole A Anderson, DPT
- Robert Evan Anderson, M.D.
- Martin Andrade, DPT
- Andrea M Wagner Psychologist PC (Redeemed Mental Health)
- Andrew Nguyen DO a Professional Medical Corporation (Newport Concierge Physicians)
- Andrew S. Iraniha Inc (Newport Laparoscopy)
- Andrew Schneider, DO, Inc
- Jillian Andrews, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.