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Contact Information

JASON GROTH, RN
1 HOAG DR
NEWPORT BEACH, CA92663-4162
 Phone: 949-764-4624
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal Intensive Care

163WN0002X
Indicates primary specialty

NPI Profile & details for JASON GROTH · (Male)

NPI # 1427995729
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 05/04/2026
Last updated 05/04/2026 - About a month ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 95023165
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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