Organization Active NPI

Newport Surgical Partners LLC

  • Ambulatory Surgical Clinic/Center
  • Costa Mesa, CA
National Provider Identifier
1003138736
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Feb 22, 2010

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 CenterCCN 05C0001672
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1010403Newport Surgical Partners, LLC1901 Newport Blvd Suite 120, Costa Mesa, CA 92627Certificate of waiverMar 11, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.