Active NPI
Elizabeth Cortes
- Physician Assistant
- Newport Beach, CA
National Provider Identifier
1942975867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 60041
- Practice address
- 360 San Miguel Dr Ste 501
Newport Beach, CA 92660-7831 - Phone
- (949) 720-1170
- Fax
- (949) 720-1172
- NPI assigned
- Aug 12, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 60041 | CA | Primary |
Addresses
Primary practice location
360 San Miguel Dr Ste 501
Newport Beach, CA 92660-7831
Mailing address
360 San Miguel Dr Ste 501
Newport Beach, CA 92660-7831
Phone (949) 720-1170
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 S Grand Ave
Suite 208
Glendora, CA 91741-4266
Phone (626) 914-3675
360 San Miguel Dr
Suite 501
Newport Beach, CA 92660-7831
Phone (949) 720-1170
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.66 of 100
- Promoting interoperability
- 92
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
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- Newport Beach, CA
- NPI 1508815556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1942975867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 SAN MIGUEL DR STE 501",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607831",
"telephone_number": "949-720-1170",
"fax_number": "949-720-1172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 SAN MIGUEL DR STE 501",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607831",
"telephone_number": "949-720-1170",
"fax_number": "949-720-1172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTES",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-12",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "60041",
"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 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.