MEDICARE: SOCAL MEDICAL GROUP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor
2	208100000X	Physical Medicine & Rehabilitation Physician	A108707	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1043277866	OTHER	NY	DON ROURKE
2	1053729293	OTHER	CA	KENNETH DOBBS
3	1184929408	OTHER	CA	MICHAEL HOLLIS
4	1306016043	OTHER	CA	FRANK ACUNIA
5	1184083057	OTHER	CA	ANDREW ADAMS

General Provider Information

NPI Number	:	1932482239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOCAL MEDICAL GROUP

Provider Business Mailing Address
First Line	:	361 HOSPITAL RD STE 428
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-3525
Country	:	US
Telephone Number	:	949-465-0770
Fax Number	:	949-220-9103

Provider Business Practice Location Address
First Line	:	361 HOSPITAL RD STE 428
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-3525
Country	:	US
Telephone Number	:	949-722-7070
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JASON AMSTUTZ
Credential	:	DO
Telephone Number	:	949-722-7070

Provider Enumeration Date	:	09/22/2011
Last Update Date	:	04/03/2019

Similar Medicare Providers

1538115324 — JOHN PAUL MICHA M.D.
Practice Location Address:

361 HOSPITAL RD STE 422
NEWPORT BEACH, CA
92663-3525

Practice Phone: 949-418-5566
Practice Fax: 949-418-5460

1740209303 — KATHY KARAMLOU MD
Practice Location Address:

361 HOSPITAL RD STE 428
NEWPORT BEACH, CA
92663-3525

Practice Phone: 949-631-6500
Practice Fax: 949-631-9700

1275638967 — CALIFORNIA REHABILITATION, INC
Practice Location Address:

361 HOSPITAL RD STE 425
NEWPORT BEACH, CA
92663-3525

Practice Phone: 949-548-4580
Practice Fax: 949-548-2558

1073716601 — DR. JASON WILLIAM AMSTUTZ DC
Practice Location Address:

361 HOSPITAL RD STE 428
NEWPORT BEACH, CA
92663-3525

Practice Phone: 949-465-0770
Practice Fax: 949-220-9103

1194906545 — KATHY KARAMLOU, M.D., INC., A MEDICAL CORPORATION
Practice Location Address:

361 HOSPITAL RD STE 428
NEWPORT BEACH, CA
92663-3525

Practice Phone: 949-631-6500
Practice Fax: 949-631-9700

1548558554 — MRS. DIANE LOUISE SCHWARZ N.P.
Practice Location Address:

361 HOSPITAL RD STE 428
NEWPORT BEACH, CA
92663-3525

Practice Phone: 949-631-6500
Practice Fax:

Directions to “SOCAL MEDICAL GROUP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.