PHYSICIAN ASSOCIATES MEDICAL GROUP NPI 1760360523

NPI Information

  • NPI: 1760360523
  • Provider Name: PHYSICIAN ASSOCIATES MEDICAL GROUP
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • :
  • Address: 1101 DOVE ST STE 120
    NEWPORT BEACH, CA
    ZIP 92660
  • Phone: (714) 313-1493

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NPI Details

PHYSICIAN ASSOCIATES MEDICAL GROUP is a clinic center in Newport Beach, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PHYSICIAN ASSOCIATES MEDICAL GROUP NPI is 1760360523. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1101 DOVE ST STE 120
NEWPORT BEACH, CA
ZIP 92660-819
Phone: (714) 313-1493
Fax: (951) 225-6879

The provider's authorized official is Vuliet Danial .
The authorized official title is Contracting/credentialing Manager and has the following contact phone number (951) 545-2442.

The enumeration date for this NPI number is 8/21/2025 and was last updated on 8/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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