Individual provider Active NPI

Amy Nevin Harrison, M.D.

  • Pediatric Pulmonology Physician
  • Newport Beach, CA
National Provider Identifier
1992892822
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
A100728 Issued in CA
Practice address
369 San Miguel Dr Ste 375
Newport Beach, CA 92660-7847
Phone
(949) 220-0510
Fax
(949) 220-0509
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X A100728 CA Primary

Addresses

Primary practice location

369 San Miguel Dr Ste 375
Newport Beach, CA 92660-7847

Mailing address

369 San Miguel Dr Ste 375
Newport Beach, CA 92660-7847
Phone (949) 220-0510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A100728CAMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Beach Pediatric Pulmonology, Inc. Pediatric Pulmonology Current Accepting new patients
Childrens Health Care Past Accepting new patients
Gillette Children'S Specialty Healthcare Past Accepting new patients
Children'S Respiratory & Critical Care Specialists. P.a. Pediatric Pulmonology PastSince Feb 12, 1990 Accepting new patients
Children'S Hospital of Orange County Past Accepting new patients
University of California Irvine Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Fairview Health Services Past Accepting new patients

Locations

1501 Superior Ave
Ste 202
Newport Beach, CA 92663
Phone (949) 274-8030

369 San Miguel Dr
Ste 375
Newport Beach, CA 92660
Phone (949) 220-0510

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHGJBD/Endpoint/HHGJBD

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1992892822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 SAN MIGUEL DR STE 375",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607847",
            "telephone_number": "949-220-0510",
            "fax_number": "949-220-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 SAN MIGUEL DR STE 375",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607847",
            "telephone_number": "949-220-0510",
            "fax_number": "949-220-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "AMY",
        "middle_name": "NEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "CA",
            "license": "A100728",
            "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 Feb 6, 2024; 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.