Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Back Bay Medical LLC

Organization Radiology Clinic/Center · NPI 1073528469

Back Bay Medical LLC is a Radiology Clinic/Center in Newport Beach, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20311 SW Acacia St Ste 140
Newport Beach, CA 92660-1733
Phone: (949) 756-8200
Fax: (949) 203-8542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiology Clinic/Center (primary) Taxonomy 261QR0200X · Licence TG158 (CA)

Record details

NPI number1073528469
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Robertson — Director · (949) 756-8200
Other names Advanced Body Scan Of Newport
NPI enumeratedJuly 31, 2006
Last updated in NPPESOctober 22, 2007
Mailing address20311 Sw Acacia St, Suite 140, Newport Beach, CA 92660-1733

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