Newport Beach Pediatric Pulmonology, Inc.

Primary specialty

Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X

Legal business name

NEWPORT BEACH PEDIATRIC PULMONOLOGY, INC.

Practice address

369 San Miguel Dr Ste 375
Newport Beach, CA 92660-7847

Phone

(949) 220-0510

Fax

(949) 220-0509

NPI assigned

Jan 14, 2020

Last updated

Feb 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amy Nevin Harrison, MDNPI 1992892822

Title

President

Phone

(949) 220-0510

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Nevin Harrison, M.D.

  • Pediatric Pulmonology Physician
  • Newport Beach, CA
  • NPI 1992892822
  NPD Authorized official

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1861032179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 SAN MIGUEL DR STE 375",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607847",
            "telephone_number": "949-220-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 SAN MIGUEL DR STE 375",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607847",
            "telephone_number": "949-220-0510",
            "fax_number": "949-220-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT BEACH PEDIATRIC PULMONOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "NEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-220-0510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Newport Beach Surgical and Medical Group Inc
• Newport Beach Trauma Therapy, Inc

• Pediatric Pulmonology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Pediatric Pulmonology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.