NPIMap

Organization Active NPI

South Coast Medical Center for New Medicine,.Inc

Doing business as Center For New Medicine

  • General Practice Physician
  • Irvine, CA
National Provider Identifier
1891939351
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G57433 Issued in CA
Legal business name
SOUTH COAST MEDICAL CENTER FOR NEW MEDICINE,.INC
Doing business as
Center For New Medicine
Practice address
6 Hughes
Suite 100
Irvine, CA 92618-2059
Phone
(949) 680-1880
Fax
(949) 680-1919
NPI assigned
Apr 28, 2009
Last updated
Aug 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Dr. Leigh Erin ConnealyNPI 1548372048
Title
President
Phone
(949) 680-1880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 20A11028 CA
General Practice Physician 208D00000X G57433 CA Primary
Radiologic Technologist 247100000X RHF75256 CA

Addresses

Primary practice location

6 Hughes
Suite 100
Irvine, CA 92618-2059

Mailing address

6 Hughes
Suite 100
Irvine, CA 92618-2059
Phone (949) 680-1880

Other identifiers 1

IdentifierTypeStateIssuer
FA325AOtherCAMEDICARE PTAN

Other names 1

  • Center For New Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110616000212 CA Part B Supplier - Clinic/Group Practice 0345427522 Receives reassigned benefits from 7 practitioners
Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1891939351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HUGHES",
            "address_2": "SUITE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182059",
            "telephone_number": "949-680-1880",
            "fax_number": "949-680-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HUGHES",
            "address_2": "SUITE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182059",
            "telephone_number": "949-680-1880",
            "fax_number": "949-680-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST MEDICAL CENTER FOR NEW MEDICINE,.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "CONNEALY",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-680-1880",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20A11028",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G57433",
            "primary": true
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "CA",
            "license": "RHF75256",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FA325A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center For New Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.