Organization Active NPI

Lifovum Fertility Managment, LLC

Doing business as Reproductive Surgical Associates

  • Ambulatory Surgical Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1093046559
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LIFOVUM FERTILITY MANAGMENT, LLC
Doing business as
Reproductive Surgical Associates
Practice address
500 Superior Ave Ste 130
Newport Beach, CA 92663-3659
Phone
(626) 440-9161
NPI assigned
Jan 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Authorized official

Name
Somesh Roy
Title
Ceo
Phone
(626) 204-9699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

500 Superior Ave Ste 130
Newport Beach, CA 92663-3659

Mailing address

135 S Rosemead Blvd
Pasadena, CA 91107
Phone (626) 204-9699

Other names 1

  • Reproductive Surgical Associates Doing business as

National Provider Directory

National Provider Directory

Locations

15503 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 788-7288

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1093046559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S ROSEMEAD BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91107",
            "telephone_number": "626-204-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUPERIOR AVE STE 130",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633659",
            "telephone_number": "626-440-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFOVUM FERTILITY MANAGMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "SOMESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-204-9699"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reproductive Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reproductive Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 27, 2017; 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.