Active NPI
Pamela Hite, MD
- Dermatology Physician
- Newport Beach, CA
National Provider Identifier
1851338875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A69586
- Practice address
- 401 Old Newport Blvd
Suite102
Newport Beach, CA 92663-4210 - Phone
- (949) 631-0300
- Fax
- (949) 631-0302
- NPI assigned
- May 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A69586 | CA | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | A69586 | CA | |
| Procedural Dermatology Physician | 207NS0135X | A69586 | CA |
Addresses
Primary practice location
401 Old Newport Blvd
Suite102
Newport Beach, CA 92663-4210
Mailing address
401 Old Newport Blvd
Suite102
Newport Beach, CA 92663-4210
Phone (949) 631-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69586 | CA | MD | Pharmacist |
| A69586 | CA | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Health Services | Past | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients | |
| California Dermatology Physicians | Procedural Dermatology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Procedural Dermatology Physician
- Corona, CA
- NPI 1780188482
-
- Multi-Specialty Clinic/Center
- Highland, CA
- NPI 1053653873
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1336194893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444867200000",
"number": "1851338875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 OLD NEWPORT BLVD",
"address_2": "SUITE102",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634210",
"telephone_number": "949-631-0300",
"fax_number": "949-631-0302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 OLD NEWPORT BLVD",
"address_2": "SUITE102",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634210",
"telephone_number": "949-631-0300",
"fax_number": "949-631-0302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HITE",
"first_name": "PAMELA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2015-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A69586",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CA",
"license": "A69586",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "CA",
"license": "A69586",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.