Individual provider Active NPI

Alexander Seiji Misono, MD, MBA

  • Vascular & Interventional Radiology Physician
  • Newport Beach, CA
National Provider Identifier
1992068357
Registry record updated Jun 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A154808 Issued in CA
Practice address
1 Hoag Dr
Newport Beach, CA 92663
Phone
(949) 764-5736
NPI assigned
Jun 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X A154808 CA Primary

Addresses

Primary practice location

1 Hoag Dr
Newport Beach, CA 92663

Mailing address

PO Box 2266
Newport Beach, CA 92659-1266
Phone (949) 645-3534

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
I20180703001143 CA Practitioner - Diagnostic Radiology 2769610799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Harvard Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Harbor Radiology Associates Medical Group IncGroup PAC ID 1850285735, 69 clinicians
Newport Center Radiology Associates Medical Group IncGroup PAC ID 7810800166, 60 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 645-3534

360 San Miguel Dr
Suite 105And106
Newport Beach, CA 92660-7853
Phone (949) 365-3534

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Hoag Orthopedic Institute Hospital, Irvine, CA, CCN 050769
  • City of Hope Helford Clinical Research Hospital Hospital, Duarte, CA, CCN 050146

Merit-based Incentive Payment System (MIPS)

Final score
95.45 of 100Reported as group
Quality
100
Improvement activities
40
Cost
84.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A154808CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Harbor Radiology Associates Medical Group, Inc CurrentSince Aug 6, 2018 Accepting new patients
Newport Center Radiology Associates Medical Group Inc CurrentSince Aug 6, 2018 Accepting new patients

Locations

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

360 San Miguel Dr
Ste 105
Newport Beach, CA 92660
Phone (949) 365-3534

360 San Miguel Dr
Ste 105106
Newport Beach, CA 92660

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

360 San Miguel Dr
Ste 1
Newport Beach, CA 92660
Phone (949) 365-3534

Dept LA 21555
Pasadena, CA 91185
Phone (949) 236-8620

Dept LA 21705
Pasadena, CA 91185

Organizations & group practices 2

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": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718409600000",
    "number": "1992068357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2266",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926591266",
            "telephone_number": "949-645-3534"
        },
        {
            "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": "92663",
            "telephone_number": "949-764-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISONO",
        "first_name": "ALEXANDER",
        "middle_name": "SEIJI",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-20",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A154808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.