NEWPORT SPECIALIST INC
NPI 1336659127
Family Medicine - Addiction Medicine in Newport Beach, CA

NPI Status: Active since October 05, 2017

Contact Information

1419 SUPERIOR AVE STE 1
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 650-0587
Fax: (949) 650-0587

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  • Organization
  • Family Medicine
  • Addiction Medicine

About NEWPORT SPECIALIST INC

This page provides the complete NPI Profile along with additional information for Newport Specialist Inc, a provider established in Newport Beach, California operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1336659127 assigned on October 2017. The practitioner's primary taxonomy code is 207QA0401X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Sylvia Nuttall (Practice Manager)

NPI
1336659127
Provider Name
NEWPORT SPECIALIST INC
Entity Type
Organization
Location Address
1419 SUPERIOR AVE STE 1 NEWPORT BEACH, CA 92663
Location Phone
(949) 650-0587
Location Fax
(949) 650-0587
Mailing Address
610 NEWPORT CENTER DR STE 230 NEWPORT BEACH, CA 92660
Mailing Phone
(949) 650-0587
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2017
Last Update Date
10-05-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Addiction Medicine

Taxonomy Code
207QA0401X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician who specializes in the diagnosis and treatment of addictions.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SYLVIA NUTTALL

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(949) 650-0587

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336659127
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23661251814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 2 + 5 + 1 + 8 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1336659127 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790201655 ANDREA BEATTY FNP-C
Individual
Nurse Practitioner (Family)1419 SUPERIOR AVE STE 1
NEWPORT BEACH, CA 92663
(949) 650-0587
1437669223NEWPORT PACIFIC MEDICAL GROUP INC
Organization
Family Medicine1419 SUPERIOR AVE STE 1
NEWPORT BEACH, CA 92663
(949) 650-0587

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336659127, enumerated in the NPI registry as an "organization" on October 05, 2017

The provider is located at 1419 Superior Ave Ste 1 Newport Beach, Ca 92663 and the phone number is (949) 650-0587

This medical organization specializes in Family Medicine with taxonomy code 207QA0401X with a focus in Addiction Medicine

This NPI record was last updated on October 05, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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