Active NPI
Newport Surgical Partners LLC
- Ambulatory Surgical Clinic/Center
- Costa Mesa, CA
National Provider Identifier
1003138736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- NEWPORT SURGICAL PARTNERS LLC
- Practice address
- 1901 Newport Blvd
Ste 120
Costa Mesa, CA 92627-2278 - Phone
- (949) 515-1040
- Fax
- (949) 650-5796
- NPI assigned
- Feb 22, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John J Hogue
- Title
- Ceo
- Phone
- (949) 706-9900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1901 Newport Blvd
Ste 120
Costa Mesa, CA 92627-2278
Mailing address
1901 Newport Blvd
Ste 120
Costa Mesa, CA 92627-2278
Phone (949) 515-1040
Other names 1
- NEWPORT PLAZA SURGICAL CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100603000282 | CA | Part B Supplier - Ambulatory Surgical Center | 1557490364 | Practice locations: Costa Mesa, CA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Newport Plaza Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1010403 | Newport Surgical Partners, LLC | Certificate of waiver | Mar 11, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Rehabilitation Hospital Unit
- Newport Beach, CA
- NPI 1750875670
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Newport Beach, CA
- NPI 1881884591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266796800000",
"number": "1003138736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 NEWPORT BLVD",
"address_2": "STE 120",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926272278",
"telephone_number": "949-515-1040",
"fax_number": "949-650-5796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 NEWPORT BLVD",
"address_2": "STE 120",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926272278",
"telephone_number": "949-515-1040",
"fax_number": "949-650-5796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWPORT SURGICAL PARTNERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-22",
"last_updated": "2010-02-22",
"status": "A",
"authorized_official_last_name": "HOGUE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-706-9900"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NEWPORT PLAZA SURGICAL CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.