Organization Active NPI

Surinder Saini MD Inc

  • Gastroenterology Physician
  • Newport Beach, CA
National Provider Identifier
1104197706
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A50364 Issued in CA
Legal business name
SURINDER SAINI MD INC
Practice address
1441 Avocado Ave
Suite 807
Newport Beach, CA 92660-7721
Phone
(949) 650-5155
NPI assigned
Jan 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Dr. Surinder Saini, M.D.NPI 1750304671
Title
Ceo
Phone
(949) 650-5155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X A50364 CA Primary

Addresses

Primary practice location

1441 Avocado Ave
Suite 807
Newport Beach, CA 92660-7721

Mailing address

PO Box 13278
Newport Beach, CA 92658-5091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120117000261 CA Part B Supplier - Clinic/Group Practice 8325215387 Receives reassigned benefits from 2 practitioners
Practice locations: Fountain Valley, CA; Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

11100 Warner Ave
Ste 360
Fountain Vly, CA 92708
Phone (714) 429-5800

Interoperability endpoints

  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/15720/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1104197706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13278",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926585091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE",
            "address_2": "SUITE 807",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607721",
            "telephone_number": "949-650-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURINDER SAINI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "SAINI",
        "authorized_official_first_name": "SURINDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-650-5155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A50364",
            "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 Jan 13, 2012; 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.