NPIMap

Organization Active NPI

Personal Healthcare

  • Family Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1902844103
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A69169 Issued in CA
Legal business name
PERSONAL HEALTHCARE
Practice address
17 Corporate Plaza Dr
110
Newport Beach, CA 92660-7902
Phone
(949) 706-3300
Fax
(949) 706-3301
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Marcia Whalen, D.O
Title
President
Phone
(949) 650-5353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A69169 CA Primary

Addresses

Primary practice location

17 Corporate Plaza Dr
110
Newport Beach, CA 92660-7902

Mailing address

17 Corporate Plaza Dr
110
Newport Beach, CA 92660-7902
Phone (949) 706-3300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1902844103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CORPORATE PLAZA DR",
            "address_2": "110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607902",
            "telephone_number": "949-706-3300",
            "fax_number": "949-706-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CORPORATE PLAZA DR",
            "address_2": "110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607902",
            "telephone_number": "949-706-3300",
            "fax_number": "949-706-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-650-5353",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A69169",
            "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 Oct 5, 2007; 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.