ADVANCED BODY SCAN OF NEWPORT
NPI 1073528469
Clinic/Center - Radiology in Newport Beach, CA
- Organization
- Clinic/Center
- Radiology
About ADVANCED BODY SCAN OF NEWPORT
This page provides the complete NPI Profile along with additional information for Advanced Body Scan Of Newport, a provider established in Newport Beach, California operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1073528469 assigned on July 2006. The practitioner's primary taxonomy code is 261QR0200X with license number TG158 (CA). The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's is doing business as Advanced Body Scan Of Newport. The authorized official of this NPI record is Dr. Gregory A Robertson Md (Director)
- NPI
- 1073528469 Verify this NPI
- Provider Legal Name
- BACK BAY MEDICAL LLC
- Other Organization Name
- ADVANCED BODY SCAN OF NEWPORT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 20311 SW ACACIA ST SUITE 140 NEWPORT BEACH, CA 92660
- Location Phone
- (949) 756-8200
- Location Fax
- (949) 203-8542
- Mailing Address
- 20311 SW ACACIA ST SUITE 140 NEWPORT BEACH, CA 92660
- Mailing Phone
- (949) 756-8200
- Mailing Fax
- (949) 203-8542
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-31-2006
- Last Update Date
- 10-22-2007
- Code Navigator
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
Clinic/Center Radiology
- Taxonomy Code
- 261QR0200X
- Type
- Ambulatory Health Care Facilities
- License No.
- TG158
- License State
- CA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| TG158 | MEDICARE UPIN (02) | CA |
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
NEWPORT BEACH, CA 92660
NEWPORT BEACH, CA 92660
NEWPORT BEACH, CA 92660
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073528469, enumerated as an "organization" on July 31, 2006.
The provider is located at 20311 SW ACACIA ST SUITE 140 NEWPORT BEACH, CA 92660 and the phone number is (949) 756-8200.
Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
