Garrett Andrew Wirth, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A81620 Issued in CA

Practice address

1401 Avocado Ave Ste 810
Newport Beach, CA 92660-8708

Phone

(949) 706-9988

Fax

(949) 679-9967

NPI assigned

Aug 31, 2006

Last updated

Sep 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Plastic and Reconstructive Surgery

Education

Albany Medical College of Union University, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Garrett Wirth MD ProfessionalGroup PAC ID 1658632856, 2 clinicians

Lux You PCGroup PAC ID 1456883685, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
• Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Garrett Wirth MD Professional

  dba Wirth Plastic Surgery

  • Plastic Surgery Physician
  • Newport Beach, CA
  • NPI 1992211809
  Medicare reassignment Care Compare group NPD Authorized official
• Lux You, PC

  • Plastic Surgery Physician
  • Long Beach, CA
  • NPI 1477388064
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  Care Compare affiliation
• Long Beach Memorial Medical

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1962442012
  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1871605386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 810",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608708",
            "telephone_number": "949-706-9988",
            "fax_number": "949-679-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 810",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608708",
            "telephone_number": "949-706-9988",
            "fax_number": "949-679-9967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S Manchester Ave",
            "address_2": "Suite 650",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683217",
            "country_code": "US",
            "telephone_number": "714-456-5253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIRTH",
        "first_name": "GARRETT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A81620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WA81620A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Richard Winter, D.D.S.
• Charlotte Helene Winters, PH.D.
• James Leon Winterton, D.D.S
• Danna L Winthrop, MFCT
• David L Wirta, MD
• Wishmyer Chiropractic and Wellness, Professional Corporation
• Jordan Wishmyer
• Anaya Lea Wistain
• Heather Witt, PA-C
• Laura Elaine Wittenauer, DDS

• Plastic Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.