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ADVANCED CARE MEDICAL INC
NPI 1821607789
Family Medicine in Newport Beach, CA

Active since July 27, 2020CLIA 05D0578307 · Waiver
400 NEWPORT CENTER DR STE 301, NEWPORT BEACH, CA 92660(949) 644-1300(949) 644-1306 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advanced Care Medical Inc NPPES

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

ADVANCED CARE MEDICAL INC (NPI 1821607789) is a healthcare organization registered as a family medicine in Newport Beach, California and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Luther Mangoba, President, as its authorized official.

NPPES Registry Identity

NPI1821607789
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameADVANCED CARE MEDICAL INC
Location Address400 NEWPORT CENTER DR STE 301Newport Beach, CA 92660-7604
Mailing Address400 Newport Center Dr Ste 301Newport Beach, CA 92660-7604 · (951) 640-7822
Phone(949) 644-1300
Fax(949) 644-1306
Organization SubpartNo
Authorized OfficialLuther MangobaPresident · (951) 640-7822
Enumeration DateJuly 27, 2020
NPPES CertifiedJuly 27, 2020
✔ NPI 1821607789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
400 NEWPORT CENTER DR STE 301, Newport Beach, CA 92660
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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 05D0578307

Advanced Care Medical Inc · Newport Beach, CA
Active · expires Aug 31, 2026
CLIA Number05D0578307
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLuther B. Mangoba
Laboratory Phone(949) 644-1300
Laboratory LocationAdvanced Care Medical Inc400 Newport Center Dr, Ste #301, Newport Beach, CA 92660
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

SUZANNE ROY FNP
Nurse Practitioner (Family)
400 NEWPORT CENTER DR STE 301
NEWPORT BEACH, CA 92660
Orange County (949) 644-1300
LAWRENCE Y LO MD INC
Clinic/Center (Primary Care)
400 NEWPORT CENTER DR STE 301
NEWPORT BEACH, CA 92660
Orange County (949) 644-1300

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 Advanced Care Medical Inc's NPI number?

The NPI number for Advanced Care Medical Inc is 1821607789. It was assigned to this organization in the NPPES registry on July 27, 2020.

Where is Advanced Care Medical Inc located?

Advanced Care Medical Inc is located at 400 Newport Center Dr Ste 301, Newport Beach, CA 92660. The listed phone number is (949) 644-1300.

What is Advanced Care Medical Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Advanced Care Medical Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0578307) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Care Medical Inc was last updated on July 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.