NEWPORT CENTER RADIOLOGY ASSOCIATES MEDICAL GROUP INC (NPI# 1013951714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013951714 |
| Entity Type | Organization |
| Organization Name | NEWPORT CENTER RADIOLOGY ASSOCIATES MEDICAL GROUP INC |
| Other Organization Name | NEWPORT IMAGING CENTER |
| Practice Address |
360 San Miguel Dr Ste 106 Newport Beach CA 92660 |
| Mailing Address |
Dept La 21705 Pasadena CA 91185-1705 |
| Practice Telephone | 9497647480 |
| Practice Fax Number | 9497219411 |
| Mailing Telephone | 9492638620 |
| Mailing Fax Number | 9492631639 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2018-08-20 |
| Authorized Official Name | MICHAEL C ROOSSIN (PRESIDENT) |
| Authorized Official Telephone | 9495748200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ05509Z | 01 |
| CA | BLUE SHIELD | ZZZ13769Z | 01 |
| CA | BLUE SHIELD | ZZZ16877Z | 01 |
| CA | GR0027850 | 05 |
| Other Name | Type Code |
|---|---|
| Newport Imaging Center | Doing Business As Name - Organization |
| Street Address |
360 SAN MIGUEL DR STE 106 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952726879 | Solano Diagnostics Partners A Calif Limited Partnership | Radiology | 2625 San Marco, Newport Beach, CA 92660-3268 | 2014-02-28 |
| 1003077256 | Vinh Ngoc Nguyen | Radiology | 3300 W Coast Hwy Ste B, Newport Beach, CA 92663-4007 | 2008-06-20 |
| 1174726806 | Salma H. Mikhail | Radiology | 6804 W Oceanfront, Newport Beach, CA 92663-1722 | 2007-06-08 |
| 1285700062 | Michael A. Arata, M.d., Inc. | Radiology | 20162 Sw Birch St # 250, Newport Beach, CA 92660-0787 | 2006-11-26 |
| 1679591770 | Jeffrey Jay Weitz | Radiology | 19 Seabluff, Newport Beach, CA 92660-9103 | 2006-07-17 |
| 1780618959 | Stephen D Sholkoff | Radiology | 1324 Galaxy Dr, Newport Beach, CA 92660-4919 | 2006-07-11 |
| 1790725364 | Jason Y Liu | Radiology | 56 Linda Isle, Newport Beach, CA 92660-7207 | 2006-06-08 |
| 1235191966 | Garrett Graham Ward | Radiology | 755 Promontory Dr W, Newport Beach, CA 92660-7357 | 2006-04-06 |
| 1083695720 | Anthony Stauffer | Radiology | 3300 W Coast Hwy, Newport Beach, CA 92663-4007 | 2005-11-09 |
| 1134114663 | Mehdi Soleimanpour | Radiology | 401 Old Newport Blvd, Suite #201, Newport Beach, CA 92663-4291 | 2005-09-12 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
Please comment or provide details below to improve the information on NEWPORT CENTER RADIOLOGY ASSOCIATES MEDICAL GROUP INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.