Organization Active NPI

Dr. Russell S. Alterman, a Professional Corporation

  • Internal Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1740653195
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A6838 Issued in CA
Legal business name
DR. RUSSELL S. ALTERMAN, A PROFESSIONAL CORPORATION
Practice address
20311 SW Acacia St Ste 100
Newport Beach, CA 92660-1733
Phone
(949) 250-4244
Fax
(949) 878-4886
NPI assigned
Nov 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Dr. Russell Scott Alterman, D.O.
Title
Owner
Phone
(949) 250-4244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 20A6838 CA Primary

Addresses

Primary practice location

20311 SW Acacia St Ste 100
Newport Beach, CA 92660-1733

Mailing address

20311 SW Acacia St Ste 100
Newport Beach, CA 92660-1733
Phone (949) 250-4244

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1740653195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20311 SW ACACIA ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601733",
            "telephone_number": "949-250-4244",
            "fax_number": "949-878-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20311 SW ACACIA ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601733",
            "telephone_number": "949-250-4244",
            "fax_number": "949-878-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RUSSELL S. ALTERMAN, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "ALTERMAN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-250-4244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A6838",
            "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 Nov 6, 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.