Active NPI
West Palm Surgery Center, LLC
- Surgery Physician
- Newport Beach, CA
National Provider Identifier
1053871749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- WEST PALM SURGERY CENTER, LLC
- Practice address
- 400 Newport Center Dr Ste 102
Newport Beach, CA 92660 - Phone
- (928) 486-6004
- NPI assigned
- Mar 20, 2019
- 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
- Dr. Lee Marek, DPM
- Title
- Member
- Phone
- (831) 588-7296
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
400 Newport Center Dr Ste 102
Newport Beach, CA 92660
Mailing address
400 Newport Center Dr Ste 102
Newport Beach, CA 92660-8602
Other practice location 1
302 W La Veta Ave Ste 100
Orange, CA 92866-2607
Phone (831) 588-7296
National Provider Directory
National Provider DirectoryLocations
400 Newport Center Dr
Ste 102
Newport Beach, CA 92660
Phone (949) 423-2170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573171200000",
"number": "1053871749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 NEWPORT CENTER DR STE 102",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926608602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 NEWPORT CENTER DR STE 102",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "92660",
"telephone_number": "928-486-6004"
}
],
"practiceLocations": [
{
"address_1": "302 W La Veta Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928662607",
"country_code": "US",
"telephone_number": "831-588-7296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WEST PALM SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-20",
"last_updated": "2019-11-08",
"status": "A",
"authorized_official_last_name": "MAREK",
"authorized_official_first_name": "LEE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "831-588-7296",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"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 Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.