SPN Medical Consulting Inc.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

A80371 Issued in CA

Legal business name

SPN MEDICAL CONSULTING INC.

Practice address

520 Superior Ave
Ste. 350
Newport Beach, CA 92663-3637

Phone

(949) 650-0616

Fax

(949) 650-0600

NPI assigned

Aug 22, 2013

Organization subpart

No

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

Authorized official

Name

Sean P. Nikravan, M.D.NPI 1558357319

Title

Owner

Phone

(714) 366-4766

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Sean P Nikravan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Newport Beach, CA
  • NPI 1558357319
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1972937266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE",
            "address_2": "STE. 350",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633637",
            "telephone_number": "949-650-0616",
            "fax_number": "949-650-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE",
            "address_2": "STE. 350",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633637",
            "telephone_number": "949-650-0616",
            "fax_number": "949-650-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPN MEDICAL CONSULTING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "NIKRAVAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-366-4766",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A80371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SPH Irvine, L.L.C.
• Charles Robert Spicer, M.S., M.B.A.
• Ariadni Spinali, LAC
• Caroline Seery Spindler, PA-C
• SPN Medical Consulting
• Javan Spoolstra
• Callie Spooner, MS, RDN
• Lauren Kelsey Spraker, LMFT
• Aditi Bhargava Springstubb, M.D.
• Springwell Haven LLC

• Endocrinology, Diabetes & Metabolism Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.