SIMON MADORSKY M.D A MEDICAL CORPORATION
NPI 1417108556
Otolaryngology - Facial Plastic Surgery in Newport Beach, CA

Active since October 07, 2008
180 NEWPORT CENTER DR, SUITE 158, NEWPORT BEACH, CA 92660(949) 719-1800(949) 719-1810 Get Directions Write a Review

NPPES record last updated: January 31, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Simon Madorsky M.d A Medical Corporation NPPES

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

SIMON MADORSKY M.D A MEDICAL CORPORATION (NPI 1417108556) is a healthcare organization registered as a facial plastic surgery in Newport Beach, California and active in the NPI registry since October 2008. The organization lists Malinda Vance, Supervisor Billing Support Services, as its authorized official.

NPPES Registry Identity

NPI1417108556
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameSIMON MADORSKY M.D A MEDICAL CORPORATION
Location Address180 NEWPORT CENTER DR, SUITE 158Newport Beach, CA 92660-6972
Mailing AddressPo Box 15788Newport Beach, CA 92659-5788 · (949) 574-4638 · Fax (949) 574-4680
Fax(949) 719-1810
Organization SubpartNo
Authorized OfficialMalinda VanceSupervisor Billing Support Services · (949) 574-4652
Enumeration DateOctober 7, 2008
Last NPPES UpdateJanuary 31, 2012
NPI 1417108556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License Licensed in CA · A50075
Definition

An otolaryngologist who specializes in facial plastic surgery.

180 NEWPORT CENTER DR, Newport Beach, CA 92660

Other Identifiers 1

Medicare PINBK073CA

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

Other Providers at the Same Location NPPES 19

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

Plastic Surgery
180 NEWPORT CENTER DR, SUITE 170
NEWPORT BEACH, CA 92660
Surgery (Plastic and Reconstructive Surgery)
180 NEWPORT CENTER DR, 158
NEWPORT BEACH, CA 92660
Clinic/Center (Medical Specialty)
180 NEWPORT CENTER DR, 265
NEWPORT BEACH, CA 92660
Clinic/Center (Ambulatory Surgical)
180 NEWPORT CENTER DR, SUITE 157
NEWPORT BEACH, CA 92660
Clinic/Center (Health Service)
180 NEWPORT CENTER DR, 265
NEWPORT BEACH, CA 92660
Dermatology
180 NEWPORT CENTER DR, SUITE 158
NEWPORT BEACH, CA 92660
Clinic/Center (Ambulatory Surgical)
180 NEWPORT CENTER DR, SUITE 150
NEWPORT BEACH, CA 92660
Otolaryngology
180 NEWPORT CENTER DR, 158
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 Simon Madorsky M.D A Medical Corporation's NPI number?

The NPI number for Simon Madorsky M.D A Medical Corporation is 1417108556. It was assigned to this organization in the NPPES registry on October 7, 2008.

Where is Simon Madorsky M.D A Medical Corporation located?

Simon Madorsky M.D A Medical Corporation is located at 180 Newport Center Dr Suite 158, Newport Beach, CA 92660. The listed phone number is (949) 719-1800.

What is Simon Madorsky M.D A Medical Corporation's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

When was this NPI record last updated?

The NPPES record for Simon Madorsky M.D A Medical Corporation was last updated on January 31, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.