NEWPORT AESTHETIC SURGERY CENTER LLC – NPI #1164365862
Clinic/Center

NEWPORT AESTHETIC SURGERY CENTER LLC is an AHC clinic located in NEWPORT BEACH, CA. NPPES recently assigned the NPI number 1164365862 to NEWPORT AESTHETIC SURGERY CENTER LLC on April 09, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NEWPORT AESTHETIC SURGERY CENTER LLC below.

NPI Profile for
NEWPORT AESTHETIC SURGERY CENTER LLC

NPI Number
1164365862
Enumeration Date

(about 2 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NEWPORT AESTHETIC SURGERY CENTER LLC
Primary location
1401 AVOCADO AVE STE 301
NEWPORT BEACH, CA 92660-8729
Phone: (949) 755-0575 Fax: (949) 755-0580
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KEYIAN PAYDAR
OWNER
Phone: (949) 755-0575
Updated
Certification Date
Apr 09, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.