NPIMap

Individual provider Active NPI

Alberto Mendivil, M.D.

  • Gynecologic Oncology Physician
  • Newport Beach, CA
National Provider Identifier
1801097662
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
A90983 Issued in CA
Practice address
351 Hospital Rd.
Suite 507
Newport Beach, CA 92663
Phone
(949) 642-1361
Fax
(949) 642-1608
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X A90983 CA Primary

Addresses

Primary practice location

351 Hospital Rd.
Suite 507
Newport Beach, CA 92663

Mailing address

351 Hospital Rd.
Suite 507
Newport Beach, CA 92663
Phone (949) 642-1361

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100819000251 CA Practitioner - Gynecological Oncology 8123152683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
University of Utah School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hoag ClinicGroup PAC ID 3274872064, 447 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162

1031 Avenida Pico
Suite 204
San Clemente, CA 92673-6352
Phone (949) 829-5533

16105 Sand Canyon Ave
Irvine, CA 92618-3780
Phone (949) 764-4060

24411 Health Ctr Dr
Suite 200
Laguna Hills, CA 92653-3633
Phone (949) 829-5533

351 Hospital Rd
Suite 507
Newport Beach, CA 92663-3500
Phone (949) 612-1394

Hospital & facility affiliations

  • Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168
  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of the uterus27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hoag Clinic CurrentSince May 1, 2020 Accepting new patients
St. Joseph Hospital Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Hoag Hospital Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Locations

16105 Sand Canyon Ave
Ste 260
Irvine, CA 92618
Phone (949) 642-1361

351 Hospital Rd
Ste 507
Newport Beach, CA 92663
Phone (949) 642-1361

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 8

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1801097662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL RD.",
            "address_2": "SUITE 507",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663",
            "telephone_number": "949-642-1361",
            "fax_number": "949-642-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL RD.",
            "address_2": "SUITE 507",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663",
            "telephone_number": "949-642-1361",
            "fax_number": "949-642-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIVIL",
        "first_name": "ALBERTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CA",
            "license": "A90983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.