Active NPI
Surgicare of la Veta LTD.
- Ambulatory Surgical Clinic/Center
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SURGICARE OF LA VETA LTD.
- Doing business as
- Barranca Surgery Center
- Practice address
- 3500 Barranca Pkwy Suite 130
Irvine, CA 92606-8227 - Phone
- (949) 552-6266
- Fax
- (949) 552-5038
- NPI assigned
- Nov 20, 2007
- 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
- Rachel Harris
- Title
- Administrator
- Phone
- (949) 312-0427
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
3500 Barranca Pkwy Suite 130
Irvine, CA 92606-8227
Mailing address
3500 Barranca Pkwy Ste 130
Irvine, CA 92606-8227
Phone (949) 552-6266
Other names 1
- Barranca Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171207000431 | CA | Part B Supplier - Ambulatory Surgical Center | 6204858996 | Practice locations: Irvine, CA |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Ambulatory Surgical Clinic/Center
- Newport Beach, CA
- NPI 1619576824
6204858996
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Surgicare of Laveta Dba Barranca Surgery Center
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Healthsouth la Veta Sur
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Orange, CA
- NPI 1033177373
-
- Ambulatory Surgical Clinic/Center
- Newport Beach, CA
- NPI 1619576824
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Laguna Beach, CA
- NPI 1811018047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732233600000",
"number": "1073794855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 BARRANCA PKWY STE 130",
"city": "IRVINE",
"state": "CA",
"postal_code": "926068227",
"telephone_number": "949-552-6266",
"fax_number": "949-552-5038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 BARRANCA PKWY SUITE 130",
"city": "IRVINE",
"state": "CA",
"postal_code": "926068227",
"telephone_number": "949-552-6266",
"fax_number": "949-552-5038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICARE OF LA VETA LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-20",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "949-312-0427"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Barranca Surgery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Barranca Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.