Superior Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SUPERIOR SURGERY CENTER

Practice address

1501 Superior Ave Ste 301
Newport Beach, CA 92663-3641

Phone

(949) 642-7600

NPI assigned

Oct 16, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Marie Smith, MDNPI 1558543421

Title

Ceo/Principal

Phone

(646) 642-7600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Melissa Marie Smith, M.D.

  • Plastic Surgery Physician
  • Newport Beach, CA
  • NPI 1558543421
  NPD Authorized official
• Alexander Shadid Jr., MD

  • Surgery Physician
  • Newport Beach, CA
  • NPI 1851457766
  NPD (past)

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1073155578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVE STE 301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVE STE 301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633641",
            "telephone_number": "949-642-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO/PRINCIPAL",
        "authorized_official_telephone_number": "646-642-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunset Shores Recovery
• George Gregory Super, M.D.
• Superior Family Medical Group Inc
• Superior Performance Physical Therapy PC
• Superior Psychiatric Services
• Superior Surgery Center (Newport Superior Surgery Center)
• Superior TMS Center
• Superior Wound Care and Physical Therapy, Inc
• Roger Sur, MD
• Ahlam Suradi

• 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 Oct 16, 2019; 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.

Verify at the official NPI Registry.