Newport Harbor Radiology Associates Medical Group, Inc - Medicare Primary Care in Newport Beach, CA

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Newport Harbor Radiology Associates Medical Group, Inc is a medicare enrolled primary clinic (Radiology - Diagnostic Radiology) in Newport Beach, California. The current practice location for Newport Harbor Radiology Associates Medical Group, Inc is One Hoag Drive, Newport Beach, California. For appointments, you can reach them via phone at (949) 764-5570. The mailing address for Newport Harbor Radiology Associates Medical Group, Inc is Dept La 21555, Pasadena, California and phone number is (949) 263-8620.

Newport Harbor Radiology Associates Medical Group, Inc is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1053355792. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (949) 764-5570.

Contact Information

Newport Harbor Radiology Associates Medical Group, Inc
One Hoag Drive
Newport Beach
CA 92663-4162
(949) 764-5570
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameNewport Harbor Radiology Associates Medical Group, Inc
SpecialityRadiology
LocationOne Hoag Drive, Newport Beach, California
Authorized Official Name and PositionHumberto Wong (AUTHORIZED OFFICIAL)
Authorized Official Contact9496453534
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Newport Harbor Radiology Associates Medical Group, Inc
Dept La 21555
Pasadena
CA 91185-1555

Ph: (949) 263-8620		Newport Harbor Radiology Associates Medical Group, Inc
One Hoag Drive
Newport Beach
CA 92663-4162

Ph: (949) 764-5570

NPI Details:

NPI Number1053355792
Provider Enumeration Date06/15/2006
Last Update Date01/28/2026
Certification Date01/28/2026

Medicare PECOS Information:

Medicare PECOS PAC ID1850285735
Medicare Enrollment IDO20040211000758

Medical Identifiers

Medical identifiers for Newport Harbor Radiology Associates Medical Group, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053355792NPI-NPPES
1053355792MedicaidCA
ZZZ78642ZMedicaidCA
ZZZ78642ZOtherCABLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ()Secondary
207U00000XNuclear Medicine ()Secondary
2085R0202XRadiology - Diagnostic Radiology ()Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Newport Harbor Radiology Associates Medical Group, Inc acts as a billing entity for following providers:
Provider NameWallace W Peck
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1508810367
PECOS PAC ID: 8224942735
Enrollment ID: I20031118000946
Provider NameMark Z Chen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1730132549
PECOS PAC ID: 6204730534
Enrollment ID: I20031119000964
Provider NameWilliam J Vandalsem
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1316975816
PECOS PAC ID: 3678476173
Enrollment ID: I20040130001111
Provider NameLuke P Cheung
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1619917259
PECOS PAC ID: 6002719416
Enrollment ID: I20040131000154
Provider NameThomas E Velling
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1689618209
PECOS PAC ID: 3870488158
Enrollment ID: I20040216001307
Provider NameRichard B Rhee
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1932143559
PECOS PAC ID: 7810883287
Enrollment ID: I20040223001343
Provider NameMelissa B Yu
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1588619233
PECOS PAC ID: 6103818109
Enrollment ID: I20040331000690
Provider NameVeronica L Duggan
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1790883213
PECOS PAC ID: 3577513571
Enrollment ID: I20050127000456
Provider NameScott Thomas Williams
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1144237405
PECOS PAC ID: 4789620790
Enrollment ID: I20050629001266
Provider NameNicolas Von Dem Bussche
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1720037682
PECOS PAC ID: 3870524127
Enrollment ID: I20050825000941
Provider NameJennifer M-j Overstreet
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1043480965
PECOS PAC ID: 3375550023
Enrollment ID: I20060321000488
Provider NameShaya Ghazinoor
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1124036462
PECOS PAC ID: 7911903406
Enrollment ID: I20061005000402
Provider NameJinsoo Andrew Keyoung
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1962501833
PECOS PAC ID: 1759388341
Enrollment ID: I20061024000265
Provider NamePeter Giuliano
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1275536443
PECOS PAC ID: 4486542214
Enrollment ID: I20061201000387
Provider NameChristopher Boyd Baker
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1013059872
PECOS PAC ID: 6406957976
Enrollment ID: I20070727000451
Provider NameHumberto Wong
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1558484717
PECOS PAC ID: 3779676523
Enrollment ID: I20070910000749
Provider NameMichael N Brant-zawadzki
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1821042532
PECOS PAC ID: 8628000346
Enrollment ID: I20080506000873
Provider NameJohn G Lieu
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1366638447
PECOS PAC ID: 8820156177
Enrollment ID: I20081015000492
Provider NameShelley Dolkas Lickl
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1760416572
PECOS PAC ID: 3375532203
Enrollment ID: I20090508000286
Provider NameSaghi Samadi
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1194942714
PECOS PAC ID: 2860543279
Enrollment ID: I20090625000119
Provider NameJanuary K Lopez
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1225138936
PECOS PAC ID: 7618029901
Enrollment ID: I20090717000117
Provider NameFrederick Birnberg
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1386683084
PECOS PAC ID: 3274712526
Enrollment ID: I20110119000872
Provider NameKarence Chan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1194821488
PECOS PAC ID: 7315126687
Enrollment ID: I20110119001056
Provider NameMiles Chang
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1952341539
PECOS PAC ID: 6002095205
Enrollment ID: I20110120000079
Provider NameJohn Lim
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1821183252
PECOS PAC ID: 4486833605
Enrollment ID: I20110120000329
Provider NameThuan Tran
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1932143104
PECOS PAC ID: 5193612711
Enrollment ID: I20110222000334
Provider NameRoger Thomas
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1588608749
PECOS PAC ID: 3577744705
Enrollment ID: I20110222000481
Provider NameWinston Whitney
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1396789905
PECOS PAC ID: 6305749805
Enrollment ID: I20110222000579
Provider NameMichael C Roossin
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1447204250
PECOS PAC ID: 0446153860
Enrollment ID: I20110307000048
Provider NameKarl Fan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1962408989
PECOS PAC ID: 1951468925
Enrollment ID: I20110321000371
Provider NameMichael C Jung
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1821201898
PECOS PAC ID: 0648321836
Enrollment ID: I20110623000576
Provider NameAshley K Lotfipour
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1548585375
PECOS PAC ID: 5294996997
Enrollment ID: I20120405000186
Provider NameTrushar J Patel
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1982858809
PECOS PAC ID: 1557511557
Enrollment ID: I20121029000690
Provider NameSarah Y Chan
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1083954473
PECOS PAC ID: 0345485314
Enrollment ID: I20130321000362
Provider NameSuneet Pramanik
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1659508075
PECOS PAC ID: 0840430161
Enrollment ID: I20130710000631
Provider NameDavid P Juice
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1952637019
PECOS PAC ID: 2769606268
Enrollment ID: I20140623002118
Provider NameZaihleen Shariff Keller
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1124311238
PECOS PAC ID: 8921226531
Enrollment ID: I20140822002207
Provider NameNina Woldenberg
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1063710473
PECOS PAC ID: 0244556231
Enrollment ID: I20150310002570
Provider NameBrian L Dubin
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1316365935
PECOS PAC ID: 3577840792
Enrollment ID: I20170425003152
Provider NameFrank Kuo
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1922418797
PECOS PAC ID: 6406075803
Enrollment ID: I20170509001856
Provider NamePriya Menon Krishnarao
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1770921132
PECOS PAC ID: 4183991987
Enrollment ID: I20170526001811
Provider NameLawrence Germain Lareau
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1174522999
PECOS PAC ID: 8224193149
Enrollment ID: I20170908001393
Provider NameTust Techasith
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1851681308
PECOS PAC ID: 7214297563
Enrollment ID: I20180205002053
Provider NameYingding Xu
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1972846251
PECOS PAC ID: 8729343652
Enrollment ID: I20180524002063
Provider NameManu K Singh
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1114338753
PECOS PAC ID: 9436404233
Enrollment ID: I20180619003345
Provider NameAlexander Seiji Misono
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1992068357
PECOS PAC ID: 2769610799
Enrollment ID: I20180703001143
Provider NameEdwina M Chang
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1861819823
PECOS PAC ID: 4688977911
Enrollment ID: I20190619002886
Provider NameBehroz Oftadeh
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1225552433
PECOS PAC ID: 2860767092
Enrollment ID: I20190724002328
Provider NameJulie Savina Lee
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1265684864
PECOS PAC ID: 3072784644
Enrollment ID: I20200714002533
Provider NameJames Marchetti
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1912495318
PECOS PAC ID: 7517201114
Enrollment ID: I20200716003086
Provider NameAvinash Mesipam
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1427495316
PECOS PAC ID: 0446520340
Enrollment ID: I20200730001660
Provider NameGary Allan Ulaner
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1073730727
PECOS PAC ID: 3971658832
Enrollment ID: I20200925002581
Provider NameTiffany L Tsai
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1548654007
PECOS PAC ID: 5294021465
Enrollment ID: I20210708002853
Provider NameVincent Nguyen
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1235730789
PECOS PAC ID: 8325432727
Enrollment ID: I20220301001705
Provider NameMatthew Roughley
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1801497771
PECOS PAC ID: 1951788553
Enrollment ID: I20220520001199
Provider NameMichael Tran Nguyentat
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1427586841
PECOS PAC ID: 2365712924
Enrollment ID: I20220705002441
Provider NameQuan Tran Dang
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1518606797
PECOS PAC ID: 0840662839
Enrollment ID: I20230221002982
Provider NameKevin Kim
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1134626047
PECOS PAC ID: 0345606919
Enrollment ID: I20230524001669
Provider NameBrian Cristiano
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1205239795
PECOS PAC ID: 8426345323
Enrollment ID: I20230608001474
Provider NameRyan Reddy
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1417214073
PECOS PAC ID: 3173757499
Enrollment ID: I20230823003990
Provider NameJoon Soo Shin
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1750812400
PECOS PAC ID: 7517237621
Enrollment ID: I20240507002751
Provider NameKevin Pham
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1629531868
PECOS PAC ID: 1850733007
Enrollment ID: I20240520003773
Provider NameKatherine Cecil
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1639733231
PECOS PAC ID: 3476886623
Enrollment ID: I20240710002039
Provider NameLindsey Anne Slaney Young
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1952037780
PECOS PAC ID: 3678004140
Enrollment ID: I20241008002791
Provider NameJia Chu
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1174082986
PECOS PAC ID: 2062830086
Enrollment ID: I20250605003841
Provider NameAbhishek K Jairam
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1932669728
PECOS PAC ID: 8729598560
Enrollment ID: I20250610002925
Provider NameBenjamin Park
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1992267587
PECOS PAC ID: 8123563822
Enrollment ID: I20250911004405
Provider NameMossum Kumar Sawhney
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1780147991
PECOS PAC ID: 1850626482
Enrollment ID: I20251017002310
Provider NameKristen Raust
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1124807102
PECOS PAC ID: 4587011911
Enrollment ID: I20251202003090
Provider NamePeter Wang
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1568085470
PECOS PAC ID: 5991192288
Enrollment ID: I20251229000182
Provider NameNathan Thien Phu Nguyen
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1356290332
PECOS PAC ID: 9133603863
Enrollment ID: I20260320001494

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.