Individual provider Active NPI

Agustin Sibona, M.D.

  • Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1891153342
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A152943 Issued in CA
Practice address
520 Superior Ave
Newport Beach, CA 92663-3637
Phone
(949) 764-8960
Fax
(949) 764-8961
NPI assigned
Jan 29, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X A152943 CA Primary

Addresses

Primary practice location

520 Superior Ave
Newport Beach, CA 92663-3637

Mailing address

520 Superior Ave Ste 300
Newport Beach, CA 92663-3668
Phone (949) 764-8960

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220808001975 CA Practitioner - General SurgeryPractitioner - Vascular Surgery 6901288976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hoag ClinicGroup PAC ID 3274872064, 447 clinicians

Practice addresses (Care Compare)

500 Superior Ave
Suite 305
Newport Beach, CA 92663-3660
Phone (949) 764-8960

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal33
Leg revascularization (restoring blood flow)15
Removal of tissue66
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A152943CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
Faculty Physicians and Surgeons of Llusm Multi-Specialty Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
Hoag Clinic Multi-Specialty CurrentSince Jul 31, 2025 Accepting new patients
Hoag Hospital Past Accepting new patients

Locations

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

16305 Sand Canyon Ave
Ste 220
Irvine, CA 92618
Phone (909) 558-2840

16405 Sand Canyon Ave
Ste 230
Irvine, CA 92618
Phone (949) 557-0100

25845 Barton Rd
Ste F
Loma Linda, CA 92354
Phone (909) 558-2828

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

11370 Anderson St
Loma Linda, CA 92354
Phone (909) 558-2481

11370 Anderson St
Ste 2100
Loma Linda, CA 92354
Phone (909) 558-2824

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700

28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

520 Superior Ave
Ste 140
Newport Beach, CA 92663
Phone (949) 764-5365

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

1 Hoag Dr
Bldg 31
Newport Beach, CA 92663
Phone (949) 650-3350

520 Superior Ave
Ste 300
Newport Beach, CA 92663
Phone (949) 474-5722

500 Superior Ave
Ste 305
Newport Beach, CA 92663
Phone (949) 764-1843

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533

44274 George Cushman Ct
Ste 208
Temecula, CA 92592
Phone (951) 501-4200

901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1891153342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE STE 300",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633668",
            "telephone_number": "949-764-8960",
            "fax_number": "949-764-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633637",
            "telephone_number": "949-764-8960",
            "fax_number": "949-764-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBONA",
        "first_name": "AGUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-29",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A152943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.