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NEWPORT MESA MEDICAL GROUP, INC
NPI 1104836956
Internal Medicine in Costa Mesa, CA

Active since August 08, 2006CLIA 05D1021035 · Waiver
275 VICTORIA ST, STE 1E, COSTA MESA, CA 92627(949) 574-3615 Get Directions Write a Review

NPPES record last updated: October 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Newport Mesa Medical Group, Inc NPPES

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

NEWPORT MESA MEDICAL GROUP, INC (NPI 1104836956) is a healthcare organization registered as an internal medicine in Costa Mesa, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 8, 2028 and lists Abdul A Khan, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1104836956
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNEWPORT MESA MEDICAL GROUP, INC
Location Address275 VICTORIA ST, STE 1ECosta Mesa, CA 92627-1906
Mailing Address275 Victoria St, Ste 1eCosta Mesa, CA 92627-1906 · (949) 574-3615
Phone(949) 574-3615
Organization SubpartNo
Authorized OfficialAbdul A KhanOwner Physician · (949) 574-3615
Enumeration DateAugust 8, 2006
Last NPPES UpdateOctober 19, 2010
✔ NPI 1104836956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
275 VICTORIA ST, Costa Mesa, CA 92627
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Other Identifiers 1

Medicare PINW15859

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1021035

Newport Mesa Medical Group Inc · Costa Mesa, CA
Active · expires Jan 8, 2028
CLIA Number05D1021035
Laboratory TypeOther
Certificate Effective DateJanuary 9, 2026
Certificate Expiration DateJanuary 8, 2028
Laboratory DirectorAbdul A. Khan MD
Laboratory Phone(949) 574-3615
Laboratory LocationNewport Mesa Medical Group Inc275 Victoria Street Suite 1E, Costa Mesa, CA 92627
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

NAZLI AHMED, M.D., INC.
Family Medicine
275 VICTORIA ST, # 2M
COSTA MESA, CA 92627
Orange County (949) 642-5390
INNOVATIVE RX INC
Pharmacy (Compounding Pharmacy)
275 VICTORIA ST, STE 1F
COSTA MESA, CA 92627
Orange County (949) 642-0106
DR. DAVID GREENBERG D.C.
Chiropractor
275 VICTORIA ST, STE. 2A
COSTA MESA, CA 92627
Orange County (949) 574-2700
ESPERANZA TONG
Licensed Vocational Nurse
275 VICTORIA ST
COSTA MESA, CA 92627
Orange County (949) 629-2860
KAREN MUNA MFT
Marriage & Family Therapist
275 VICTORIA ST, 2L
COSTA MESA, CA 92627
Orange County (194) 972-2118
MS. RITA K NIJJAR PA-C
Dermatology
275 VICTORIA ST, SUITE 1H
COSTA MESA, CA 92627
Orange County (949) 646-2311
ALI ASGHAR BEHZADNIA MD FACP
Internal Medicine (Endocrinology, Diabetes & Metabolism)
275 VICTORIA ST, #2J
COSTA MESA, CA 92627
Orange County (949) 650-0630
NATALIE MENDOZA PEREZ
Licensed Psychiatric Technician
275 VICTORIA ST
COSTA MESA, CA 92627
Orange County (949) 629-2860

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 Newport Mesa Medical Group, Inc's NPI number?

The NPI number for Newport Mesa Medical Group, Inc is 1104836956. It was assigned to this organization in the NPPES registry on August 8, 2006.

Where is Newport Mesa Medical Group, Inc located?

Newport Mesa Medical Group, Inc is located at 275 Victoria St Ste 1E, Costa Mesa, CA 92627. The listed phone number is (949) 574-3615.

What is Newport Mesa Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Newport Mesa Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1021035) is associated with this NPI, valid through January 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Newport Mesa Medical Group, Inc was last updated on October 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.