BASIC PHYSICAL MEDICINE
NPI 1245775360
Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine in Irvine, CA

Active since December 28, 2016CLIA 05D2192672 · Waiver
17264 RED HILL AVE, IRVINE, CA 92614(949) 650-1228 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 29, 2021, Mar 4, 2020, Dec 28, 2016 (3 updates tracked since 2016).

About Basic Physical Medicine NPPES

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

BASIC PHYSICAL MEDICINE (NPI 1245775360) is a healthcare organization registered as a spinal cord injury medicine in Irvine, California and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through September 13, 2028 and lists Vinod Malhorta, President, as its authorized official.

NPPES Registry Identity

NPI1245775360
Entity TypeOrganization
Primary Taxonomy2081P0004X
Legal Business NameNEWPORT PHYSICAL MEDICINE AND REHABILITATION INC.
Location Address17264 RED HILL AVEIrvine, CA 92614-5628
Mailing Address17264 Red Hill AveIrvine, CA 92614-5628
Organization SubpartNo
Authorized OfficialVinod MalhortaPresident · (949) 650-1228
Enumeration DateDecember 28, 2016
Last NPPES UpdateJanuary 29, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2021
✔ NPI 1245775360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Spinal Cord Injury MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0004X
License✔ Licensed in CA · A31505
Definition
A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications.
17264 RED HILL AVE, Irvine, CA 92614

Other Names 1

Doing Business AsBasic Physical Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Basic Physical Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Basic Physical Medicine, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Chiropractic
NPI 1326263070
3801 S HARBOR BLVD SUITE B
Santa Ana, CA 92704
(714) 751-5555
✔ Accepts Medicare3.9 mi
Pain Management
NPI 1225293095
16405 SAND CANYON AVE SUITE 215
Irvine, CA 92618
(949) 485-4257
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1942003165
13311 GARDEN GROVE BLVD STE 200
Garden Grove, CA 92843
(714) 621-0327
✔ PECOS✔ Accepts Medicare6.2 mi
Physical Therapist in Private Practice
NPI 1518584325
600 S HARBOR BLVD
Anaheim, CA 92805
(714) 774-8555
✔ Accepts Medicare9.8 mi
Chiropractic
NPI 1831614379
25255 CABOT RD STE 110
Laguna Hills, CA 92653
(949) 380-7215
✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1104539295
29472 AVENIDA DE LAS BANDERAS
Rancho Santa Margarita, CA 92688
(949) 459-9968
✔ PECOS✔ Accepts Medicare15 mi
Physical Therapist in Private Practice
NPI 1548818883
30212 TOMAS STE 120
Rancho Santa Margarita, CA 92688
(949) 709-8770
✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1932302973
4900 CALIFORNIA AVE FL 2
Bakersfield, CA 93309
(617) 505-1520
✔ PECOS134 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D2192672

Newport Physical Medicine And Rehabilitation Inc · Irvine, CA
Active · expires Sep 13, 2028
CLIA Number05D2192672
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2026
Certificate Expiration DateSeptember 13, 2028
Laboratory DirectorVinod Malhotra
Laboratory Phone(949) 650-1228
Laboratory LocationNewport Physical Medicine And Rehabilitation Inc17264 Red Hill Ave, Irvine, CA 92614
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Physical Medicine And Rehabilitation Inc.'s NPI number?

The NPI number for Newport Physical Medicine And Rehabilitation Inc. is 1245775360. It was assigned to this organization in the NPPES registry on December 28, 2016. The provider is doing business as Basic Physical Medicine.

Where is Newport Physical Medicine And Rehabilitation Inc. located?

Newport Physical Medicine And Rehabilitation Inc. is located at 17264 Red Hill Ave, Irvine, CA 92614. The listed phone number is (949) 650-1228.

What is Newport Physical Medicine And Rehabilitation Inc.'s specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Spinal Cord Injury Medicine, with taxonomy code 2081P0004X.

Is Newport Physical Medicine And Rehabilitation Inc. enrolled in Medicare?

Yes. Newport Physical Medicine And Rehabilitation Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Newport Physical Medicine And Rehabilitation Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to Newport Physical Medicine And Rehabilitation Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Chiropractic (2) and Physical Therapist in Private Practice (2). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Newport Physical Medicine And Rehabilitation Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2192672) is associated with this NPI, valid through September 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Newport Physical Medicine And Rehabilitation Inc. accept?

Health plans from Sanford Health Plan list Newport Physical Medicine And Rehabilitation Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Newport Physical Medicine And Rehabilitation Inc. was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.