Healthcare Provider Details

I. General information

NPI: 1447140983
Provider Name (Legal Business Name): NEWPORT PALLIATIVE CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16200 SAND CANYON AVE
IRVINE CA
92618-3714
US

IV. Provider business mailing address

361 HOSPITAL RD STE 521
NEWPORT BEACH CA
92663-3526
US

V. Phone/Fax

Practice location:
  • Phone: 949-873-6181
  • Fax:
Mailing address:
  • Phone: 949-873-6181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: WESTON CHANDLER
Title or Position: CEO
Credential: MD
Phone: 949-873-6181