NEWPORT CHILDREN'S MEDICAL GROUP
NPI 1356328330
Clinic/Center - Primary Care in Newport Beach, CA

Active since December 29, 2005
1401 AVOCADO AVE, #802, NEWPORT BEACH, CA 92660(949) 644-0970(949) 644-0774 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Newport Children's Medical Group NPPES

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

NEWPORT CHILDREN'S MEDICAL GROUP (NPI 1356328330) is a healthcare organization registered as a primary care in Newport Beach, California and active in the NPI registry since December 2005. The organization lists Deron Gilliard, Health Administrator, as its authorized official.

NPPES Registry Identity

NPI1356328330
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNEWPORT CHILDREN'S MEDICAL GROUP
Location Address1401 AVOCADO AVE, #802Newport Beach, CA 92660-7720
Mailing Address1401 Avocado Ave, #802Newport Beach, CA 92660-7720 · (949) 644-0970 · Fax (949) 644-0774
Fax(949) 644-0774
Organization SubpartNo
Authorized OfficialDeron GilliardHealth Administrator · (949) 644-0970
Enumeration DateDecember 29, 2005
Last NPPES UpdateOctober 9, 2007
NPI 1356328330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1401 AVOCADO AVE, Newport Beach, CA 92660

Other Identifiers 2

MedicaidGR0083890CA
MedicaidGR0083892CA

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.

Dermatology
1401 AVOCADO AVE, STE 703
NEWPORT BEACH, CA 92660
Orthopaedic Surgery (Sports Medicine)
1401 AVOCADO AVE, SUITE 307
NEWPORT BEACH, CA 92660
Clinic/Center (Ophthalmologic Surgery)
1401 AVOCADO AVE, 605
NEWPORT BEACH, CA 92660
Plastic Surgery
1401 AVOCADO AVE, SUITE 100
NEWPORT BEACH, CA 92660
Plastic Surgery
1401 AVOCADO AVE, STE 810
NEWPORT BEACH, CA 92660
Orthopaedic Surgery (Sports Medicine)
1401 AVOCADO AVE, SUITE 307
NEWPORT BEACH, CA 92660
Dermatology
1401 AVOCADO AVE, STE 703
NEWPORT BEACH, CA 92660
Dentist (General Practice)
1401 AVOCADO AVE, SUITE 607
NEWPORT BEACH, CA 92660

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 Children's Medical Group's NPI number?

The NPI number for Newport Children's Medical Group is 1356328330. It was assigned to this organization in the NPPES registry on December 29, 2005.

Where is Newport Children's Medical Group located?

Newport Children's Medical Group is located at 1401 Avocado Ave #802, Newport Beach, CA 92660. The listed phone number is (949) 644-0970.

What is Newport Children's Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Newport Children's Medical Group was last updated on October 9, 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.