Dr Christie Inc

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

DR CHRISTIE INC

Practice address

1441 Avocado Ave Ste 301
Newport Beach, CA 92660-7704

Phone

(949) 272-2085

NPI assigned

Oct 4, 2018

Organization subpart

Yes

Parent organization

DR CHRISTIE INCAs reported in NPPES

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

Authorized official

Name

Christina Prendergast, DO

Title

President

Phone

(805) 279-0402

Specialties & licenses 1

Addresses

Part of

Dr Christie Inc

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1912472135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE STE 301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE STE 301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607704",
            "telephone_number": "949-272-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHRISTIE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR CHRISTIE INC",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "PRENDERGAST",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-279-0402",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic and Reconstructive Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.