BODYLOGICMD OF IRVINE
NPI 1952543316
Family Medicine in Newport Beach, CA

Active since April 01, 2009
4440 VON KARMAN AVE, SUITE 201, NEWPORT BEACH, CA 92660(949) 222-0232(949) 222-0344 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2020, Apr 9, 2020 (2 updates tracked since 2020).

About Bodylogicmd Of Irvine NPPES

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

BODYLOGICMD OF IRVINE (NPI 1952543316) is a healthcare organization registered as a family medicine in Newport Beach, California and active in the NPI registry since April 2009. The organization lists Michael Jack Grossman, Owner, as its authorized official.

NPPES Registry Identity

NPI1952543316
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMICHAEL JACK GROSSMAN, M.D., INC
Location Address4440 VON KARMAN AVE, SUITE 201Newport Beach, CA 92660
Mailing Address4440 Von Karman Ave, Suite 201Newport Beach, CA 92660 · (949) 222-0232 · Fax (949) 222-0344
Fax(949) 222-0344
Organization SubpartNo
Authorized OfficialMichael Jack GrossmanOwner · (949) 222-0232
Enumeration DateApril 1, 2009
Last NPPES UpdateMay 6, 20202 updates tracked since enumeration
NPPES CertifiedMay 6, 2020
NPI 1952543316 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.
4440 VON KARMAN AVE, Newport Beach, CA 92660

Other Names 1

Doing Business AsBodylogicmd Of Irvine

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

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

Physician Assistant
4440 VON KARMAN AVE
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 Michael Jack Grossman, M.D., Inc's NPI number?

The NPI number for Michael Jack Grossman, M.D., Inc is 1952543316. It was assigned to this organization in the NPPES registry on April 1, 2009. The provider is doing business as Bodylogicmd Of Irvine.

Where is Michael Jack Grossman, M.D., Inc located?

Michael Jack Grossman, M.D., Inc is located at 4440 Von Karman Ave Suite 201, Newport Beach, CA 92660. The listed phone number is (949) 222-0232.

What is Michael Jack Grossman, M.D., Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Jack Grossman, M.D., Inc was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.