MEDICARE: GREATER NEWPORT PHYSICIANS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207K00000X	Allergy & Immunology Physician
2	207L00000X	Anesthesiology Physician
3	207N00000X	Dermatology Physician
4	207Q00000X	Family Medicine Physician
5	207R00000X	Internal Medicine Physician
6	207T00000X	Neurological Surgery Physician
7	207V00000X	Obstetrics & Gynecology Physician
8	207W00000X	Ophthalmology Physician
9	207X00000X	Orthopaedic Surgery Physician
10	207Y00000X	Otolaryngology Physician
11	208000000X	Pediatrics Physician
12	208200000X	Plastic Surgery Physician
13	208600000X	Surgery Physician
14	208800000X	Urology Physician
15	208M00000X	Hospitalist Physician

General Provider Information

NPI Number	:	1760579924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREATER NEWPORT PHYSICIANS

Provider Business Mailing Address
First Line	:	330 PLACENTIA AVE
Second Line	:	SUITE 270
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-3306
Country	:	US
Telephone Number	:	949-764-6320
Fax Number	:	949-764-6376

Provider Business Practice Location Address
First Line	:	330 PLACENTIA AVE
Second Line	:	SUITE 270
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-3306
Country	:	US
Telephone Number	:	949-764-6320
Fax Number	:	949-764-6376

Authorized Official
Title or Position	:	CFO
Name	:	MS. LESLIE MC MAINS
Credential	:
Telephone Number	:	949-764-6320

Provider Enumeration Date	:	10/09/2006
Last Update Date	:	09/11/2025

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Directions to “GREATER NEWPORT PHYSICIANS ” Practice Location

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