NPIMap

Organization Active NPI

Socal Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Newport Beach, CA
National Provider Identifier
1932482239
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A108707 Issued in CA
Legal business name
SOCAL MEDICAL GROUP
Doing business as
LINK Medical Center
Practice address
361 Hospital Rd Ste 428
Newport Beach, CA 92663-3525
Phone
(949) 722-7070
NPI assigned
Sep 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Authorized official

Name
Jason Amstutz, DO
Title
Ceo
Phone
(949) 722-7070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X A108707 CA Primary

Addresses

Primary practice location

361 Hospital Rd Ste 428
Newport Beach, CA 92663-3525

Mailing address

361 Hospital Rd Ste 428
Newport Beach, CA 92663-3525
Phone (949) 465-0770

Other identifiers 5

IdentifierTypeStateIssuer
1043277866OtherNYDON ROURKE
1053729293OtherCAKENNETH DOBBS
1184929408OtherCAMICHAEL HOLLIS
1306016043OtherCAFRANK ACUNIA
1184083057OtherCAANDREW ADAMS

Other names 1

  • LINK Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

17524 Von Karman Ave
Irvine, CA 92614
Phone (949) 449-1252

361 Hospital Rd
Ste 428
Newport Beach, CA 92663
Phone (949) 465-0770

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1932482239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD STE 428",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633525",
            "telephone_number": "949-465-0770",
            "fax_number": "949-220-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD STE 428",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633525",
            "telephone_number": "949-722-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "AMSTUTZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-722-7070",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A108707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DON ROURKE",
            "identifier": "1043277866",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENNETH DOBBS",
            "identifier": "1053729293",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHAEL HOLLIS",
            "identifier": "1184929408",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FRANK ACUNIA",
            "identifier": "1306016043",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANDREW ADAMS",
            "identifier": "1184083057",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LINK Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 3, 2019; 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.