| Newport Neurohospitalist Medical Group, Inc | |
|
1 Hoag Dr Newport Beach CA 92663-4162 | |
| (714) 385-1721 | |
| (714) 385-1723 |
| Full Name | Newport Neurohospitalist Medical Group, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1 Hoag Dr, Newport Beach, California |
| Authorized Official Name and Position | David M Brown (PRESIDENT) |
| Authorized Official Contact | 7143851721 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newport Neurohospitalist Medical Group, Inc 333 S Anita Dr 750 Orange CA 92868-3356 Ph: (714) 385-1721 | Newport Neurohospitalist Medical Group, Inc 1 Hoag Dr Newport Beach CA 92663-4162 Ph: (714) 385-1721 |
| NPI Number | 1942305412 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 09/09/2014 |
| Medicare PECOS PAC ID | 9335195148 |
|---|---|
| Medicare Enrollment ID | O20050324000729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942305412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | David M Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992800452 PECOS PAC ID: 7315993128 Enrollment ID: I20050325000113 |
| Provider Name | David Millett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437177805 PECOS PAC ID: 4587608781 Enrollment ID: I20050617001033 |
| Provider Name | Jose Puangco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376742700 PECOS PAC ID: 1153402854 Enrollment ID: I20080119000068 |
| Provider Name | Andrew Ly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801093554 PECOS PAC ID: 5698843100 Enrollment ID: I20081010000567 |
| Provider Name | Jason Muir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083819791 PECOS PAC ID: 9739249657 Enrollment ID: I20081124000022 |
| Provider Name | Victor Doan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366733693 PECOS PAC ID: 3678877826 Enrollment ID: I20160705002224 |
| Provider Name | Lauren L Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811426125 PECOS PAC ID: 4183057870 Enrollment ID: I20191211001226 |
| Provider Name | Miki S Ohata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033760699 PECOS PAC ID: 0749617215 Enrollment ID: I20200221001465 |
| Provider Name | Yasir N Jassam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508154428 PECOS PAC ID: 5698044063 Enrollment ID: I20210219002273 |
| Provider Name | Ruth T Morin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992366314 PECOS PAC ID: 0446657837 Enrollment ID: I20210928002165 |
| Provider Name | Anh Tuan Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063185858 PECOS PAC ID: 8325434905 Enrollment ID: I20220407001060 |
| Provider Name | Erin R Fromm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073255238 PECOS PAC ID: 1658734249 Enrollment ID: I20230830000741 |
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