NPIMap

Organization Active NPI

Beach Family Doctors Medical Group

Doing business as Beach Family Doctors

  • Medical Specialty Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1841495843
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
BEACH FAMILY DOCTORS MEDICAL GROUP
Doing business as
Beach Family Doctors
Practice address
366 San Miguel Dr Ste 200
Newport Beach, CA 92660-7810
Phone
(949) 642-0900
Fax
(949) 642-0022
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Julia Harris, MDNPI 1326095605
Title
Physician
Phone
(714) 845-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

366 San Miguel Dr Ste 200
Newport Beach, CA 92660-7810

Mailing address

PO Box 15775
Newport Beach, CA 92659-5775
Phone (657) 241-3600

Other names 1

  • Beach Family Doctors Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050606000405 CA Part B Supplier - Clinic/Group Practice 4981647518 Receives reassigned benefits from 13 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Huntington Beach, CA; Newport Beach, CA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Beach Family Doctors2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

19582 Beach Blvd
Ste 218
Huntington Beach, CA 92648
Phone (714) 861-1000

366 San Miguel Dr
Ste 200
Newport Beach, CA 92660
Phone (949) 642-0900

2001 Westcliff Dr
Ste 200
Newport Beach, CA 92660
Phone (714) 845-5900

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1841495843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15775",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926595775",
            "telephone_number": "657-241-3600",
            "fax_number": "657-241-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 SAN MIGUEL DR STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607810",
            "telephone_number": "949-642-0900",
            "fax_number": "949-642-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH FAMILY DOCTORS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "714-845-5900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Family Doctors",
            "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 Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.