Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 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: July 19, 2026.

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

  • Organization
  • Obstetrics & Gynecology
  • Reproductive Endocrinology

About CCRM NEWPORT BEACH

This page provides the complete NPI Profile along with additional information for Ccrm Newport Beach, a women's health care provider established in Newport Beach, California operating as a Obstetrics & Gynecology, focusing in reproductive endocrinology . The healthcare provider is registered in the NPI registry with number 1053018267 assigned on February 2023. The practitioner's primary taxonomy code is 207VE0102X. The provider is registered as an organization and their NPI record was last updated July 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Matt Tyson (Director, Managed Care Contracting)

NPI
1053018267
Provider Name
CCRM NEWPORT BEACH
Entity Type
Organization
Location Address
3501 JAMBOREE RD STE 450 NEWPORT BEACH, CA 92660
Location Phone
(949) 531-6331
Mailing Address
3501 JAMBOREE RD STE 1100 NEWPORT BEACH, CA 92660
Mailing Phone
(949) 222-1290
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-08-2023
Last Update Date
07-15-2026
Code Navigator

Women's health care providers like Ccrm Newport Beach treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

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

Obstetrics & Gynecology Reproductive Endocrinology

Taxonomy Code
207VE0102X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

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

MATT TYSON

Authorized Official Title
DIRECTOR, MANAGED CARE CONTRACTING
Authorized Official Phone
(615) 477-6677

Reviews for CCRM NEWPORT BEACH

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053018267, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 0 → 0 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 0 + 1 + 1 + 6 + 2 + 1 + 2 + 24 = 43

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 43 is 50. The difference is the calculated check digit.

50 - 43 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1053018267.

Other Providers at the Same Location


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

Clinical Medical Laboratory
3501 JAMBOREE RD STE 450
NEWPORT BEACH, CA 92660
Clinic/Center (Ambulatory Surgical)
3501 JAMBOREE RD STE 450
NEWPORT BEACH, CA 92660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053018267, enumerated as an "organization" on February 08, 2023.

The provider is located at 3501 JAMBOREE RD STE 450 NEWPORT BEACH, CA 92660 and the phone number is (949) 531-6331.

Obstetrics & Gynecology with taxonomy code 207VE0102X and a focus in Reproductive Endocrinology.