Back Bay Medical LLC
NPI 1073528469 · Radiology Clinic/Center · Newport Beach, CA
Back Bay Medical LLC is a Radiology Clinic/Center organization in Newport Beach, CA (NPI 1073528469).
Provider details
- NPI number
- 1073528469
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gregory Robertson, Director(949) 756-8200
- License
- TG158 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Advanced Body Scan of Newport
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2007-10-22
Frequently asked questions
- What is Back Bay Medical LLC's NPI number?
- Back Bay Medical LLC's National Provider Identifier (NPI) is 1073528469, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Back Bay Medical LLC?
- Back Bay Medical LLC is classified in the NPPES registry as Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is Back Bay Medical LLC located?
- Back Bay Medical LLC's practice location on file with NPPES is 20311 Sw Acacia St, Newport Beach, CA 92660-1733.
- What is Back Bay Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Back Bay Medical LLC is (949) 756-8200.
- Who is the authorized official for Back Bay Medical LLC?
- The authorized official listed on Back Bay Medical LLC's NPPES record is Gregory Robertson, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Back Bay Medical LLC's NPI active?
- Yes — Back Bay Medical LLC's NPI (1073528469) is active in the NPPES registry as of the last update on 2007-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.