IRVINE SURGICAL MEDICAL GROUP CORP – NPI #1578652152
Clinic/Center

IRVINE SURGICAL MEDICAL GROUP CORP is an AHC clinic located in IRVINE, CA. NPPES has assigned the NPI number 1578652152 to IRVINE SURGICAL MEDICAL GROUP CORP on October 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. IRVINE SURGICAL MEDICAL GROUP CORP is also known by the name IRVINE ENDOSCOPY AND SURGICAL INSTITUTE. 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

The NPI profile was previously updated about 18 years ago on May 15, 2008. 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 IRVINE SURGICAL MEDICAL GROUP CORP below.

NPI Profile for
IRVINE SURGICAL MEDICAL GROUP CORP

NPI Number
1578652152
Enumeration Date

(more than 19 years 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
IRVINE SURGICAL MEDICAL GROUP CORP
Other Name: IRVINE ENDOSCOPY AND SURGICAL INSTITUTE
Primary location
15825 LAGUNA CANYON RD
SUITE 100
IRVINE, CA 92618-2125
Phone: (949) 679-6700 Fax: (949) 387-9530
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ARDALAN BABAKNIA
CHIEF MEDICAL DIRECTOR AND FINANCIA
Phone: (949) 753-8844
Updated
Identifiers

Identifiers for IRVINE SURGICAL MEDICAL GROUP CORP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCLIACA05D1025785
OTHERDHS STATE LICENSECA550000008
MEDICAIDCASUR01683F
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)		 CA 550000008

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.