Individual provider Active NPI

Angela Maria Colombo, M.D.

  • Family Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1891974960
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A73564 Issued in CA
Practice address
20072 SW Birch St Ste 190
Newport Beach, CA 92660-0799
Phone
(949) 354-4161
NPI assigned
Oct 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A73564 CA Primary

Addresses

Primary practice location

20072 SW Birch St Ste 190
Newport Beach, CA 92660-0799

Mailing address

27762 Antonio Pkwy L1 #325
Ladera Ranch, CA 92694-1247
Phone (949) 235-8835

Other practice location 1

11 Hinterland Way
Ladera Ranch, CA 92694-1247
Phone (949) 235-8835

Other names 1

  • Mrs. Angela Maria Grammas Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://memorialcare.org/fhir/api/FHIR/R4/ Health Information Exchange (HIE) MemorialCare Medical Foundation

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
I20121129000359 CA Practitioner - Family Practice 5496907370 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Irvine, California College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorialcare Medical FoundationGroup PAC ID 8729277314, 555 clinicians
HMTS IncGroup PAC ID 1951750413, 118 clinicians

Practice addresses (Care Compare)

30492 Gateway PL
Suite 110
Rancho Mission Viejo, CA 92694-1862
Phone (657) 241-8435

993 Avenida Pico
San Clemente, CA 92673-3908
Phone (949) 557-0400

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HMTS, Inc Family Medicine CurrentSince Nov 3, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Angela M Colombo MD Inc Family Medicine CurrentSince May 21, 2013 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Mar 1, 2025 Accepting new patients
Memorialcare Medical Foundation Family Medicine CurrentSince Feb 15, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm Family Medicine CurrentSince Mar 1, 2025 Accepting new patients

Locations

26671 Aliso Creek Rd
Ste 101
Aliso Viejo, CA 92656
Phone (949) 360-0330

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

2166 Michelson Dr
Irvine, CA 92612
Phone (949) 660-5654

27762 Antonio Pkwy
Ste L1325
Ladera Ranch, CA 92694

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

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

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

20072 SW Birch St
Ste 190
Newport Beach, CA 92660
Phone (949) 354-4161

30492 Gateway Pl
Ste 110
Rancho Mission Viejo, CA 92694
Phone (657) 241-8601

993 Avenida Pico
San Clemente, CA 92673
Phone (949) 557-0400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: acolombo876837@direct.memorialcare.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BFJCCA/Endpoint/BFJCCA

Organizations & group practices 6

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 1

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": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1891974960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27762 ANTONIO PKWY L1 #325",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941247",
            "telephone_number": "949-235-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20072 SW BIRCH ST STE 190",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600799",
            "telephone_number": "949-354-4161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Hinterland Way",
            "address_purpose": "LOCATION",
            "city": "Ladera Ranch",
            "state": "CA",
            "postal_code": "926941247",
            "country_code": "US",
            "telephone_number": "949-235-8835",
            "fax_number": "949-388-9107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLOMBO",
        "first_name": "ANGELA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A73564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://memorialcare.org/fhir/api/FHIR/R4/",
            "affiliation": "Y",
            "endpointDescription": "MemorialCare FHIR Endpoint",
            "affiliationName": "MemorialCare Medical Foundation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "17360 Brookhurst St",
            "city": "Fountain Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927083720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "GRAMMAS",
            "middle_name": "MARIA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.