Newport Cardiac & Thoracic Surgery, Inc.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

NEWPORT CARDIAC & THORACIC SURGERY, INC.

Practice address

1 Hoag Dr BLDG 31
Newport Beach, CA 92663-4162

Phone

(949) 650-3350

Fax

(949) 650-1274

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Anthony D. Caffarelli

Title

Ceo

Phone

(949) 650-3350

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Raney Zusman Medical Group Former legal business name

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacques Kpodonu, M.D.

  • Specialist
  • Newport Beach, CA
  • NPI 1134152267
  NPD (past)
• Elaine Navani, PA

  • Surgical Physician Assistant
  • Newport Beach, CA
  • NPI 1699051755
  NPD (past)
• Kathryn D Olson, PA-C

  • Physician Assistant
  • Stanford, CA
  • NPI 1841381472
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1750339479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26039",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927996039",
            "telephone_number": "714-263-9106",
            "fax_number": "949-650-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOAG DR BLDG 31",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634162",
            "telephone_number": "949-650-3350",
            "fax_number": "949-650-1274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "447 Old Newport Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926634257",
            "country_code": "US",
            "telephone_number": "949-650-4562",
            "fax_number": "949-650-1274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEWPORT CARDIAC & THORACIC SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "CAFFARELLI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-650-3350"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "W10327",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREATER NEWPORT PHYSICIAN",
            "identifier": "0000000135",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR002729",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP NUMBER",
            "identifier": "YYY49979Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raney Zusman Medical Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Newport Cardiovascular Associates
• Newport Care Medical Group Inc
• Newport Care Medical Group, Inc
• Newport Care Urgent Care, Inc.
• Newport Center Dental Group

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.