Active NPI
Hoag Outpatient Centers, LLC
- Ambulatory Surgical Clinic/Center
- Newport Beach, CA
National Provider Identifier
1043023658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- HOAG OUTPATIENT CENTERS, LLC
- Practice address
- 500 Superior Ave Ste 130
Newport Beach, CA 92663-3659 - Phone
- (949) 520-7804
- Fax
- (949) 520-7805
- NPI assigned
- Jan 28, 2025
- 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
- Jay McKim
- Title
- Director/Officer
- Phone
- (949) 680-3443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
500 Superior Ave Ste 130
Newport Beach, CA 92663-3659
Mailing address
500 Superior Ave Ste 130
Newport Beach, CA 92663-3659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250321001135 | CA | Part B Supplier - Ambulatory Surgical Center | 1557525615 | Practice locations: Newport Beach, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Ambulatory Surgical Clinic/Center
- Newport Beach, CA
- NPI 1730466483
1557525615
National Provider Directory
National Provider Directory- Tax ID family
- Hoag Outpatient Centers LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Newport Beach, CA
- NPI 1730466483
Member 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738022400000",
"number": "1043023658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 SUPERIOR AVE STE 130",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SUPERIOR AVE STE 130",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633659",
"telephone_number": "949-520-7804",
"fax_number": "949-520-7805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOAG OUTPATIENT CENTERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-28",
"last_updated": "2025-01-28",
"certification_date": "2025-01-14",
"status": "A",
"authorized_official_last_name": "MCKIM",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "DIRECTOR/OFFICER",
"authorized_official_telephone_number": "949-680-3443"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.