Organization Active NPI

Lori Openshaw MD a Professional Corporation

Doing business as Newport Pediatric Premier Care

  • Pediatrics Physician
  • Newport Beach, CA
National Provider Identifier
1861104333
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LORI OPENSHAW MD A PROFESSIONAL CORPORATION
Doing business as
Newport Pediatric Premier Care
Practice address
1401 Avocado Ave Ste 705
Newport Beach, CA 92660-8711
Phone
(949) 524-8890
Fax
(949) 524-8891
NPI assigned
Dec 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Lori L Openshaw, MDNPI 1952388787
Title
Dr
Phone
(949) 533-2210

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1401 Avocado Ave Ste 705
Newport Beach, CA 92660-8711

Mailing address

1401 Avocado Ave Ste 705
Newport Beach, CA 92660-8711
Phone (949) 524-8890

Other names 1

  • Newport Pediatric Premier Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2286350Newport Pediatric Premier Care1401 Avocado Ave Suite 705, Newport Beach, CA 92660Certificate of waiverJul 26, 2027

National Provider Directory

National Provider Directory

Locations

1401 Avocado Ave
Ste 705
Newport Beach, CA 92660
Phone (949) 759-8699

Practitioners & affiliated clinicians

Practitioners 1

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": "1671062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1861104333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 705",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608711",
            "telephone_number": "949-524-8890",
            "fax_number": "949-524-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 705",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608711",
            "telephone_number": "949-524-8890",
            "fax_number": "949-524-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI OPENSHAW MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "OPENSHAW",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "949-533-2210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport Pediatric Premier Care",
            "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 Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.