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ADVANCED BODY SCAN OF NEWPORT
NPI 1073528469
Clinic/Center - Radiology in Newport Beach, CA

Active since July 31, 2006
20311 SW ACACIA ST, SUITE 140, NEWPORT BEACH, CA 92660(949) 756-8200(949) 203-8542 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Body Scan Of Newport NPPES

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

ADVANCED BODY SCAN OF NEWPORT (NPI 1073528469) is a healthcare organization registered as a radiology in Newport Beach, California and active in the NPI registry since July 2006. The organization lists Gregory A Robertson, Director, as its authorized official.

NPPES Registry Identity

NPI1073528469
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameBACK BAY MEDICAL LLC
Location Address20311 SW ACACIA ST, SUITE 140Newport Beach, CA 92660-1733
Mailing Address20311 Sw Acacia St, Suite 140Newport Beach, CA 92660-1733 · (949) 756-8200 · Fax (949) 203-8542
Phone(949) 756-8200
Fax(949) 203-8542
Organization SubpartNo
Authorized OfficialGregory A RobertsonDirector · (949) 756-8200
Enumeration DateJuly 31, 2006
Last NPPES UpdateOctober 22, 2007
✔ NPI 1073528469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
License✔ Licensed in CA · TG158
20311 SW ACACIA ST, Newport Beach, CA 92660
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Other Names 1

Doing Business AsAdvanced Body Scan Of Newport

Other Identifiers 1

Medicare UPINTG158CA

Other Providers at the Same Location NPPES 5

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

GREGORY A ROBERTSON MD A PROFESSIONAL MEDICAL CORPORATION
Internal Medicine
20311 SW ACACIA ST, STE 100
NEWPORT BEACH, CA 92660
Orange County (949) 891-1441
DR. RUSSELL S. ALTERMAN D.O.
Internal Medicine
20311 SW ACACIA ST, SUITE 100
NEWPORT BEACH, CA 92660
Orange County (949) 250-4244
JEFFREY BLOOM D.O. INC, DBA BACK BAY MEDICAL
Family Medicine (Sports Medicine)
20311 SW ACACIA ST, #100
NEWPORT BEACH, CA 92660
Orange County (949) 263-1242
DR. JEFFREY HOWARD BLOOM D.O.
Family Medicine (Sports Medicine)
20311 SW ACACIA ST, SUITE 100
NEWPORT BEACH, CA 92660
Orange County (949) 263-1242
DR. GREGORY A ROBERTSON M.D.
Internal Medicine
20311 SW ACACIA ST, STE 100
NEWPORT BEACH, CA 92660
Orange County (949) 250-4244

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 Back Bay Medical LLC's NPI number?

The NPI number for Back Bay Medical LLC is 1073528469. It was assigned to this organization in the NPPES registry on July 31, 2006. The provider is doing business as Advanced Body Scan Of Newport.

Where is Back Bay Medical LLC located?

Back Bay Medical LLC is located at 20311 SW Acacia St Suite 140, Newport Beach, CA 92660. The listed phone number is (949) 756-8200.

What is Back Bay Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

When was this NPI record last updated?

The NPPES record for Back Bay Medical LLC was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.