NPIMap

Organization Active NPI

Memorialcare Medical Foundation

  • Non-Pharmacy Dispensing Site
  • Newport Beach, CA
National Provider Identifier
1760135677
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
MEMORIALCARE MEDICAL FOUNDATION
Practice address
1441 Avocado Avenue, Suite 301
Newport Beach, CA 92660
Phone
(949) 272-2095
Fax
(949) 272-2096
NPI assigned
Jan 31, 2022
Organization subpart
Yes
Parent organization
MEMORIAL HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Tanya Dansky, M.D.
Title
MCMF-Senior Medical Director
Phone
(657) 241-3499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

1441 Avocado Avenue, Suite 301
Newport Beach, CA 92660

Mailing address

1441 Avocado Avenue, Suite 301
Newport Beach, CA 92660
Phone (949) 272-2095

Other names 1

  • MemorialCare Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Memorialcare Medical Foundation3 organizations share this tax ID, including this one
Part of
Joseph Moskowitz MD Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1760135677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVENUE, SUITE 301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-272-2095",
            "fax_number": "949-272-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVENUE, SUITE 301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-272-2095",
            "fax_number": "949-272-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIALCARE MEDICAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HEALTH SERVICES, INC.",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "DANSKY",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "MCMF-SENIOR MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "657-241-3499",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MemorialCare Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 31, 2022; 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.