Active NPI
Michael J Sundine, MD
- Plastic Surgery Physician
- Newport Beach, CA
National Provider Identifier
1932289170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 000000G66233
- Practice address
- 1401 Avocado Ave
Suite 501
Newport Beach, CA 92660-7720 - Phone
- (949) 706-3100
- Fax
- (949) 706-3265
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 000000G66233 | CA | Primary |
Addresses
Primary practice location
1401 Avocado Ave
Suite 501
Newport Beach, CA 92660-7720
Mailing address
7 Stillwater
Irvine, CA 92603-3426
Phone (949) 706-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000000G66233 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Hospital Regional Medical Center | Past | Accepting new patients | |
| University Surgical Associates, PSC | Past | Accepting new patients | |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients | |
| Saddleback Memorial Medical Center | Past | Accepting new patients | |
| Michael J Sundine, M.D., Inc. | Past | Accepting new patients | |
| Los Alamitos Medical Center, Inc. | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- Psychiatric Hospital Unit
- Los Alamitos, CA
- NPI 1497780084
-
- Specialist
- Newport Beach, CA
- NPI 1588849129
-
- Rehabilitation Hospital
- Mission Viejo, CA
- NPI 1003956913
-
- Rehabilitation Hospital Unit
- Laguna Hills, CA
- NPI 1114967114
-
- Surgery Physician
- Louisville, KY
- NPI 1609847367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1932289170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 STILLWATER",
"city": "IRVINE",
"state": "CA",
"postal_code": "926033426",
"telephone_number": "949-706-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 AVOCADO AVE",
"address_2": "SUITE 501",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607720",
"telephone_number": "949-706-3100",
"fax_number": "949-706-3265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDINE",
"first_name": "MICHAEL J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "000000G66233",
"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 Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.