Active NPI
Kathleen P Hutton MD Inc
- Dermatology Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- KATHLEEN P HUTTON MD INC
- Practice address
- 1441 Avocado Ave
Suite 309
Newport Beach, CA 92660 - Phone
- (949) 644-8556
- Fax
- (949) 644-6318
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kathleen P Hutton, MD
- Title
- President Owner
- Phone
- (949) 644-8556
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
1441 Avocado Ave
Suite 309
Newport Beach, CA 92660
Mailing address
1441 Avocado Ave
Suite 309
Newport Beach, CA 92660
Phone (949) 644-8556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ564182 | Other | CA | BLUE SHIELD OF CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0870989 | Kathleen Hutton MD, Inc | Compliance | Oct 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
1441 Avocado Ave
Ste 309
Newport Beach, CA 92660
Phone (949) 644-8556
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Newport Beach, CA
- NPI 1164518593
-
- Dermatology Physician
- Newport Beach, CA
- NPI 1437245867
-
- Radiation Oncology Physician
- Salinas, CA
- NPI 1285600403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289865600000",
"number": "1962598300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 AVOCADO AVE",
"address_2": "SUITE 309",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "92660",
"telephone_number": "949-644-8556",
"fax_number": "949-644-6318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 AVOCADO AVE",
"address_2": "SUITE 309",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "92660",
"telephone_number": "949-644-8556",
"fax_number": "949-644-6318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHLEEN P HUTTON MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2010-11-16",
"status": "A",
"authorized_official_last_name": "HUTTON",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "949-644-8556",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "ZZZ564182",
"state": "CA"
}
],
"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 Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.