ADVANCED SURGICAL CENTER OF NEWPORT BEACH, LLC – NPI #1780293472
Clinic/Center

ADVANCED SURGICAL CENTER OF NEWPORT BEACH, LLC is an AHC clinic located in NEWPORT BEACH, CA. NPPES has assigned the NPI number 1780293472 to ADVANCED SURGICAL CENTER OF NEWPORT BEACH, LLC on July 28, 2020. 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 ADVANCED SURGICAL CENTER OF NEWPORT BEACH, LLC below.

NPI Profile for
ADVANCED SURGICAL CENTER OF NEWPORT BEACH, LLC

NPI Number
1780293472
Enumeration Date

(about 6 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
ADVANCED SURGICAL CENTER OF NEWPORT BEACH, LLC
Primary location
351 HOSPITAL RD STE 005
NEWPORT BEACH, CA 92663-3509
Phone: (949) 999-2499 Fax:
Mailing address
550 N BRAND BLVD STE 900
GLENDALE, CA 91203-4721
Phone: Fax:
Organization Subpart
Yes - ADVANCED SURGICAL CENTER OF NEWPORT BEACH, LLC is subpart of another organization.
Authorized Official
CAROLINE TCHAMANIAN
COO PRIME MSO
Phone: (818) 937-9968
Updated
Certification Date
Jul 28, 2020

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.