Bayside Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BAYSIDE SURGERY CENTER LLC

Practice address

20321 Irvine Ave Ste F2
Newport Beach, CA 92660-0200

Phone

(310) 703-7713

NPI assigned

Jun 6, 2023

Organization subpart

No

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

Authorized official

Name

Jan Eckermann, MDNPI 1962619668

Title

Medical Director

Phone

(818) 370-7206

Specialties & licenses 1

Addresses

Other names 1

• Bayside Surgery Center Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Ambulatory surgical center certification: CCN 55C0001221

Legal name

Bayside Surgery Center

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Feb 18, 2026

Last certification

Jan 24, 2026

Ownership / control type

Proprietary

Facility address

20321 Irvine Ave. Suite F-2
Newport Beach, CA 92660

Practitioners 1

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

• Jan Mathias Eckermann, M.D.

  • Neurological Surgery Physician
  • Bakersfield, CA
  • NPI 1962619668
  NPD Authorized official

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1033803606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20321 IRVINE AVE STE F2",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600200",
            "telephone_number": "818-370-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20321 IRVINE AVE STE F2",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600200",
            "telephone_number": "310-703-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "ECKERMANN",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-370-7206",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Surgery Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Bayside Surgery Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Meera Baya'a
• Sara Bayat, DPT
• Semira Bayati, MD
• Michael Bayeh
• Bayshore Rehabilitation Medicine, Inc.
• BBLS LLC (Koda Caregivers)
• BC Medical, LLC
• Firas Bdaiwi
• Beach Family Doctors Medical Group
• Beach Family Doctors Medical Group (Beach Family Doctors)

• Ambulatory Surgical Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.