Organization
NEWPORT CARDIAC & THORACIC SURGERY, INC.
Active
Other names
Raney Zusman Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY D. CAFFARELLI (CEO)
(949) 650-3350
Entity
Organization
Contact information
Practice address
1 HOAG DR BLDG 31, NEWPORT BEACH, CA 92663-4162
(949) 650-3350
(949) 650-1274
Mailing address
PO BOX 26039, SANTA ANA, CA 92799-6039
(714) 263-9106
(949) 650-1274
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000135
GREATER NEWPORT PHYSICIAN
CA
05
—
GR002729
—
CA
01
—
W10327
PTAN
CA
01
—
YYY49979Y
BLUE SHIELD GROUP NUMBER
CA
Enumeration date
05/05/2006
Last updated
04/01/2020
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