Organization Active NPI

Oc Multispecialty Surgery Center LP

  • Ambulatory Surgical Clinic/Center
  • Tustin, CA
National Provider Identifier
1023250438
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
OC MULTISPECIALTY SURGERY CENTER LP
Practice address
14642 Newport Ave
Suite 100
Tustin, CA 92780
Phone
(714) 505-5005
Fax
(714) 505-5009
NPI assigned
Mar 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Isaac Verbukh, M.D.
Title
Owner
Phone
(310) 827-2549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X CA Primary

Addresses

Primary practice location

14642 Newport Ave
Suite 100
Tustin, CA 92780

Mailing address

4333 Admiralty Way
West Helix 9
Marina del Rey, CA 90292-5469
Phone (310) 827-2549

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1023250438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 ADMIRALTY WAY",
            "address_2": "WEST HELIX 9",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925469",
            "telephone_number": "310-827-2549",
            "fax_number": "424-270-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14642 NEWPORT AVE",
            "address_2": "SUITE 100",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92780",
            "telephone_number": "714-505-5005",
            "fax_number": "714-505-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OC MULTISPECIALTY SURGERY CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "VERBUKH",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-827-2549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.