Organization Active NPI

West Palm Surgery Center, LLC

  • Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1053871749
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Nov 8, 2019

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.