David M. Crnic, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G46173 Issued in CA

Legal business name

DAVID M. CRNIC, MD

Practice address

307 Placentia Ave Ste 110
Newport Beach, CA 92663-3307

Phone

(949) 645-2288

Fax

(949) 574-8161

NPI assigned

Mar 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David Michael Crnic, MD

Title

President

Phone

(949) 645-2288

Specialties & licenses 1

Addresses

Other names 1

• South County Surgical Associates Doing business as

Locations

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1962673434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 PLACENTIA AVE STE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633307",
            "telephone_number": "949-645-2288",
            "fax_number": "949-574-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 PLACENTIA AVE STE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633307",
            "telephone_number": "949-645-2288",
            "fax_number": "949-574-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. CRNIC, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "CRNIC",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-645-2288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G46173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South County Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.