Individual provider Active NPI

David Braxton, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Newport Beach, CA
National Provider Identifier
1982921292
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A137362 Issued in CA
Practice address
1 Hoag Dr
Newport Beach, CA 92663-4162
Phone
(949) 764-5610
NPI assigned
Apr 26, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X A137362 CA Primary

Addresses

Primary practice location

1 Hoag Dr
Newport Beach, CA 92663-4162

Mailing address

PO Box 3332
Newport Beach, CA 92659-8332
Phone (323) 947-1034

Other practice location 1

1364 Clifton Rd NE
Room H185A
Atlanta, GA 30322-1059
Phone (323) 947-1034

Other practice location 2

520 Superior Ave Ste 290
Newport Beach, CA 92663-3667
Phone (949) 645-6244

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160718002221 CA Practitioner - Pathology 5395038004 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Harbor Pathology Medical Group IncGroup PAC ID 1456312396, 27 clinicians
Homeira Mehrabian MD IncGroup PAC ID 8325221393, 2 clinicians
Richard G Quist, MD Medical Corporation Inc.Group PAC ID 2860680188, 2 clinicians
Christopher Evan Lee MD IncGroup PAC ID 6901943935, 3 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 891-1297

16200 Sand Canyon Ave
Irvine, CA 92618-3714
Phone (949) 517-3111

16250 Sand Canyon Ave
Irvine, CA 92618-3714
Phone (949) 517-3111

2901 W Coast Hwy
Suite 200
Newport Beach, CA 92663-4045
Phone (949) 891-1297

500 Superior Ave
Suite 320
Newport Beach, CA 92663-3660
Phone (949) 791-7155

520 Superior Ave
Suite 245
Newport Beach, CA 92663-3642
Phone (949) 645-8300

520 Superior Ave
Suite 290
Newport Beach, CA 92663-3667
Phone (949) 645-6244

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Hoag Orthopedic Institute Hospital, Irvine, CA, CCN 050769
  • Usc Kenneth Norris Jr Cancer Hospital Hospital, Los Angeles, CA, CCN 050660

Merit-based Incentive Payment System (MIPS)

Final score
74.5 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A137362CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard G Quist MD Medical Corporation Inc Single Specialty CurrentSince Sep 1, 2017 Accepting new patients
Newport Harbor Pathology Medical Group Inc Single Specialty CurrentSince Jul 1, 2016 Accepting new patients
Hoag Memorial Hospital Presbyterian Single Specialty Current Accepting new patients
Newport Harbor Pathology Medical Group Inc CurrentSince Jul 1, 2016 Accepting new patients
Homeira Mehrabian MD Inc Single Specialty CurrentSince Dec 1, 2017 Accepting new patients
Pure Dermatology Single Specialty PastSince Dec 1, 2017 Accepting new patients

Locations

1 Technology Dr
Ste C523
Irvine, CA 92618
Phone (714) 537-2395

15375 Barranca Pkwy
Ste F101
Irvine, CA 92618
Phone (949) 264-8904

16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000

16250 Sand Canyon Ave
Irvine, CA 92618
Phone (855) 999-4641

31872 Coast Hwy
Laguna Beach, CA 92651
Phone (949) 499-1311

2901 W Coast Hwy
Ste 200
Newport Beach, CA 92663
Phone (949) 891-1297

361 Hospital Rd
Ste 331
Newport Beach, CA 92663
Phone (949) 650-8700

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

520 Superior Ave
Ste 290
Newport Beach, CA 92663
Phone (949) 640-4014

500 Superior Ave
Ste 320
Newport Beach, CA 92663
Phone (949) 706-1469

520 Superior Ave
Ste 245
Newport Beach, CA 92663
Phone (310) 344-1017

1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEEDBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HDFEAD

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1982921292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3332",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926598332",
            "telephone_number": "323-947-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOAG DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634162",
            "telephone_number": "949-764-5610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1364 Clifton Rd NE",
            "address_2": "Room H185A",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303221059",
            "country_code": "US",
            "telephone_number": "323-947-1034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Superior Ave Ste 290",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926633667",
            "country_code": "US",
            "telephone_number": "949-645-6244",
            "fax_number": "949-645-4824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAXTON",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-26",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A137362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.