Individual provider Active NPI

John C. Champion, M.D.

  • Cardiovascular Disease Physician
  • Newport Beach, CA
National Provider Identifier
1801980669
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C53134 Issued in CA
Practice address
520 Superior Ave
Suite 290
Newport Beach, CA 92663-3637
Phone
(949) 640-4014
Fax
(949) 640-4010
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C53134 CA Primary

Addresses

Primary practice location

520 Superior Ave
Suite 290
Newport Beach, CA 92663-3637

Mailing address

3080 Bristol St
Suite 600
Costa Mesa, CA 92626-3093
Phone (949) 640-4014

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080418000436 CA Practitioner - Cardiovascular Disease (Cardiology) 4082505037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Texas Medical Branch at Galveston, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Cardiovascular Associates Medical Group, Inc.Group PAC ID 3678461209, 23 clinicians

Practice addresses (Care Compare)

24022 Calle de la Plata
Suite 500
Laguna Hills, CA 92653-7612
Phone (714) 445-0220

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.2 of 100Reported as group
Quality
53.01
Promoting interoperability
87
Improvement activities
40
Cost
75.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C53134CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Cardiovascular Associates Medical Group, Inc. CurrentSince May 23, 2016 Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Providence Health & Services - Wa Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients

Locations

3070 Bristol St
Ste 190
Costa Mesa, CA 92626
Phone (714) 445-0228

3080 Bristol St
Ste 600
Costa Mesa, CA 92626
Phone 7144450228 ext. 8262

11180 Warner Ave
Ste 269
Fountain Vly, CA 92708
Phone (714) 486-1228

19066 Magnolia St
Huntington Beach, CA 92646
Phone (714) 378-2225

24022 Calle de la Plata
Ste 500
Laguna Hills, CA 92653
Phone (877) 430-7337

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: john.champion@direct.pca.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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 4

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1801980669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 BRISTOL ST",
            "address_2": "SUITE 600",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263093",
            "telephone_number": "949-640-4014",
            "fax_number": "949-640-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE",
            "address_2": "SUITE 290",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633637",
            "telephone_number": "949-640-4014",
            "fax_number": "949-640-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION",
        "first_name": "JOHN",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C53134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.