MEMORY AND MOVEMENT CLINIC; NPI #1447139175

Contact Information

MEMORY AND MOVEMENT CLINIC

200 NEWPORT CENTER DR STE 303
NEWPORT BEACH, CA 92660-7504

Phone: 650-750-6576
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Geriatric Medicine	207QG0300X	08	Physician/Family Practice
Adult Medicine	207QA0505X	08	Physician/Family Practice
Clinical Neuropsychologist	103G00000X
Dermatology	207N00000X	07	Physician/Dermatology
Family	363LF0000X	50	Nurse Practitioner
Geriatric Medicine	207RG0300X	11	Physician/Internal Medicine
Geriatric Psychiatry	2084P0805X	86	Physician/Neuropsychiatry
Geriatrics	2251G0304X	65	Physical Therapist in Private Practice
Gerontology	363LG0600X	50	Nurse Practitioner
Hospice and Palliative Medicine	207RH0002X	11	Physician/Internal Medicine
Hospice and Palliative Medicine	207QH0002X	08	Physician/Family Practice
Internal Medicine	207R00000X	11	Physician/Internal Medicine
Primary Care	363LP2300X	50	Nurse Practitioner
Psychiatric/Mental Health	363LP0808X	50	Nurse Practitioner
Surgery of the Hand	2086S0105X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for MEMORY AND MOVEMENT CLINIC

NPI #	`1447139175`
LBN Legal business name	MEMORY AND MOVEMENT CLINIC
Authorized official	SARANG TATIMATLA - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/27/2025
Last updated	09/09/2025 - About 9 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MEMORY AND MOVEMENT CLINIC

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NPI Profile & details for MEMORY AND MOVEMENT CLINIC

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