Provider Demographics
NPI:1063049351
Name:NPB MEDICAL GROUP, P.C.
Entity type:Organization
Organization Name:NPB MEDICAL GROUP, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:PATIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-220-1702
Mailing Address - Street 1:2260 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-3319
Mailing Address - Country:US
Mailing Address - Phone:949-220-1702
Mailing Address - Fax:949-220-1902
Practice Address - Street 1:2260 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-3319
Practice Address - Country:US
Practice Address - Phone:949-220-1702
Practice Address - Fax:949-220-1902
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NPB MEDICAL GROUP, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-25
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty