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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CCRM NEWPORT BEACH
NPI 1053018267
Obstetrics & Gynecology - Reproductive Endocrinology in Newport Beach, CA

Active since February 08, 2023
3501 JAMBOREE RD STE 450, NEWPORT BEACH, CA 92660(949) 531-6331 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2026, Feb 8, 2023 (2 updates tracked since 2023).

About Ccrm Newport Beach NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CCRM NEWPORT BEACH (NPI 1053018267) is a healthcare organization registered as a reproductive endocrinology in Newport Beach, California and active in the NPI registry since February 2023. The organization lists Matt Tyson, Director, Managed Care Contracting, as its authorized official.

NPPES Registry Identity

NPI1053018267
Entity TypeOrganization
Primary Taxonomy207VE0102X
Legal Business NameCCRM NEWPORT BEACH
Location Address3501 JAMBOREE RD STE 450Newport Beach, CA 92660-2916
Mailing Address3501 Jamboree Rd Ste 1100Newport Beach, CA 92660-2956 · (949) 222-1290
Phone(949) 531-6331
Organization SubpartNo
Authorized OfficialMatt TysonDirector, Managed Care Contracting · (615) 477-6677
Enumeration DateFebruary 8, 2023
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1053018267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
3501 JAMBOREE RD STE 450, Newport Beach, CA 92660
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FERTILITY LAB SCIENCES OF ORANGE COUNTY, LLC
Clinical Medical Laboratory
3501 JAMBOREE RD STE 450
NEWPORT BEACH, CA 92660
Orange County (949) 531-6331
FERTILITY LAB SCIENCES OF ORANGE COUNTY, LLC
Clinic/Center (Ambulatory Surgical)
3501 JAMBOREE RD STE 450
NEWPORT BEACH, CA 92660
Orange County (303) 908-9375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ccrm Newport Beach's NPI number?

The NPI number for Ccrm Newport Beach is 1053018267. It was assigned to this organization in the NPPES registry on February 8, 2023.

Where is Ccrm Newport Beach located?

Ccrm Newport Beach is located at 3501 Jamboree Rd Ste 450, Newport Beach, CA 92660. The listed phone number is (949) 531-6331.

What is Ccrm Newport Beach's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

When was this NPI record last updated?

The NPPES record for Ccrm Newport Beach was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.