Surgery Center of Anaheim Hills LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A91820 Issued in CA

Legal business name

SURGERY CENTER OF ANAHEIM HILLS LLC

Practice address

500 S Anaheim Hills Rd
Suite 128
Anaheim, CA 92807-4780

Phone

(714) 533-2020

Fax

(714) 533-9920

NPI assigned

Mar 20, 2017

Organization subpart

No

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

Authorized official

Name

Mohammad NealNPI 1811057821

Title

Owner

Phone

(714) 790-3463

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Ambulatory surgical center certification: CCN 05C0002200

Legal name

SURGERY CENTER OF ANAHEIM HILLS

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Oct 22, 2018

Last certification

Oct 22, 2018

Ownership / control type

Proprietary

Facility address

500 South Anaheim Hills Rd, Suite 128
Anaheim, CA 92807

Locations

Practitioners 1

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

• Mohammad Reza Neal, M.D.

  • Ophthalmology Physician
  • Anaheim, CA
  • NPI 1811057821
  NPD Authorized official

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1053852236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD",
            "address_2": "SUITE 128",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074780",
            "telephone_number": "714-533-2020",
            "fax_number": "714-533-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD",
            "address_2": "SUITE 128",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074780",
            "telephone_number": "714-533-2020",
            "fax_number": "714-533-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF ANAHEIM HILLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-790-3463"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A91820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Infectious Disease Medical Group
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• Rachelle Saldana Suppiphatvong
• Krishna Surapaneni, MD
• B S Suresh, M.D.
• Jason Suriyamont
• Bijal Surti, M.D.
• Jessica Suruor
• Sampath Kumar Suryadevara, M.D.
• Nicolette Suzuki, CADC1

• Ambulatory Surgical Clinic/Center in Anaheim, CA
• Providers in Anaheim, 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 Oct 24, 2024; 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.