Organization Active NPI

Birch Medical Group

  • Surgery of the Hand (Plastic Surgery) Physician
  • Newport Beach, CA
National Provider Identifier
1962692533
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
G512851 Issued in CA
Legal business name
BIRCH MEDICAL GROUP
Practice address
4463 Birch St
Newport Beach, CA 92660-1911
Phone
(949) 955-1213
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Huu Nguyen Pham, M.D.
Title
Medical Director
Phone
(949) 955-1213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2082S0105X G512851 CA Primary

Addresses

Primary practice location

4463 Birch St
Newport Beach, CA 92660-1911

Mailing address

3 Via Burrone
Newport Beach, CA 92657-1407

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1962692533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 VIA BURRONE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926571407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4463 BIRCH ST",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601911",
            "telephone_number": "949-955-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "HUU",
        "authorized_official_middle_name": "NGUYEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-955-1213",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "G512851",
            "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 Mar 7, 2023; 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.