Organization Active NPI

Swan Healthcare Incorporated

  • Family Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1881990752
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A088378 Issued in CA
Legal business name
SWAN HEALTHCARE INCORPORATED
Practice address
320 Superior Ave
Suite 110
Newport Beach, CA 92663-2716
Phone
(949) 910-1004
Fax
(949) 644-6022
NPI assigned
Feb 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Brian Swan, MD
Title
President
Phone
(949) 910-1004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A088378 CA Primary

Addresses

Primary practice location

320 Superior Ave
Suite 110
Newport Beach, CA 92663-2716

Mailing address

2618 San Miguel Dr
Suite 800
Newport Beach, CA 92660-5437
Phone (949) 910-1004

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1881990752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 SAN MIGUEL DR",
            "address_2": "SUITE 800",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605437",
            "telephone_number": "949-910-1004",
            "fax_number": "949-644-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE",
            "address_2": "SUITE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632716",
            "telephone_number": "949-910-1004",
            "fax_number": "949-644-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN HEALTHCARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-910-1004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A088378",
            "primary": true
        }
    ],
    "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 Feb 9, 2011; 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.