| Dr Nathan Louis Colon, MD | |
| 510 Superior Ave Ste 200f, Newport Beach, CA 92663-3664 | |
| (949) 999-8979 | |
| (949) 999-8970 | 
| Full Name | Dr Nathan Louis Colon | 
|---|---|
| Gender | Male | 
| Speciality | Urology | 
| Location | 510 Superior Ave Ste 200f, Newport Beach, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275067142 | NPI | - | NPPES | 
| 200124635 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208800000X | Urology | 2023019454 (Missouri) | Secondary | 
| 208800000X | Urology | A203125 (California) | Primary | 
| Entity Name | Washington University | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760425474 PECOS PAC ID: 9830008770 Enrollment ID: O20040315000891 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Nathan Louis Colon, MD Po Box 7412011, Chicago, IL 60674-2011 Ph: (314) 362-8200 | Dr Nathan Louis Colon, MD 510 Superior Ave Ste 200f, Newport Beach, CA 92663-3664 Ph: (949) 999-8979 | 
| Dr. Joel Sheiner, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 320 Superior Ave, Suite 110, Newport Beach, CA 92663 Phone: 949-631-5301 Fax: 949-642-2170 | |
| Dr. Robert Russell Torrey Iii, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1525 Superior Ave, Suite 210, Newport Beach, CA 92663 Phone: 949-999-8979 Fax: 949-999-8970 | |
| Dr. Jeffrey C. Bassett, M.D., M.P.H. Urology Medicare: Accepting Medicare Assignments Practice Location: 1525 Superior Ave Ste 210, Newport Beach, CA 92663 Phone: 949-999-8979 Fax: 949-999-8970 | |
| Richard E Holevas, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 520 Superior Ave Ste 240, Newport Beach, CA 92663 Phone: 949-646-1131 Fax: 949-646-6782 | |
| Dr. Cu Ngoc Phan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 400 Newport Center Dr Ste 409, Newport Beach, CA 92660 Phone: 949-718-4315 Fax: 949-718-4316 | |
| Dr. Robert J Bae, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1401 Avocado Ave, Suite 602, Newport Beach, CA 92660 Phone: 949-644-8722 Fax: 949-644-8893 |