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NEWPORT PERSONAL MEDICINE, INC.
NPI 1336650068
Family Medicine - Addiction Medicine in Irvine, CA

Active since October 20, 2017CLIA 05D2167276 · Waiver
22 ODYSSEY STE 110, IRVINE, CA 92618(949) 500-5662(949) 706-9440 Get Directions Write a Review

NPPES record last updated: January 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Newport Personal Medicine, Inc. NPPES

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

NEWPORT PERSONAL MEDICINE, INC. (NPI 1336650068) is a healthcare organization registered as an addiction medicine in Irvine, California and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Robert Stephen Jennings, President, as its authorized official.

NPPES Registry Identity

NPI1336650068
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameNEWPORT PERSONAL MEDICINE, INC.
Location Address22 ODYSSEY STE 110Irvine, CA 92618-3186
Mailing AddressP.o. Box 11807Newport Beach, CA 92658 · (949) 500-5662 · Fax (949) 706-9440
Phone(949) 500-5662
Fax(949) 706-9440
Organization SubpartNo
Authorized OfficialRobert Stephen JenningsPresident · (949) 500-5662
Enumeration DateOctober 20, 2017
Last NPPES UpdateJanuary 4, 2018
✔ NPI 1336650068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
22 ODYSSEY STE 110, Irvine, CA 92618
Open in Google Maps ↗

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

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 05D2167276

Newport Personal Medicine Inc · Irvine, CA
Active · expires Jun 4, 2027
CLIA Number05D2167276
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorRobert S. Jennings
Laboratory Phone(949) 717-4811
Laboratory LocationNewport Personal Medicine Inc22 Odyssey, Suite 110, Irvine, CA 92618
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. ROBERT STEPHEN JENNINGS M.D., FAAFP
Family Medicine (Addiction Medicine)
22 ODYSSEY STE 110
IRVINE, CA 92618
Orange County (949) 717-4811

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 Personal Medicine, Inc.'s NPI number?

The NPI number for Newport Personal Medicine, Inc. is 1336650068. It was assigned to this organization in the NPPES registry on October 20, 2017.

Where is Newport Personal Medicine, Inc. located?

Newport Personal Medicine, Inc. is located at 22 Odyssey Ste 110, Irvine, CA 92618. The listed phone number is (949) 500-5662.

What is Newport Personal Medicine, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Does Newport Personal Medicine, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2167276) is associated with this NPI, valid through June 4, 2027. 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 Personal Medicine, Inc. was last updated on January 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.