Active NPI
Orange County Digestive Center, Inc
- Ambulatory Surgical Clinic/Center
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ORANGE COUNTY DIGESTIVE CENTER, INC
- Practice address
- 1400 Reynolds Ave Ste 125
Irvine, CA 92614-5563 - Phone
- (657) 900-4536
- NPI assigned
- Feb 12, 2019
- Last updated
- Dec 21, 2021
- 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
- Essam R Quraishi, MD
- Title
- Owner/President
- Phone
- (949) 771-9910
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
1400 Reynolds Ave Ste 125
Irvine, CA 92614-5563
Mailing address
1400 Reynolds Ave Ste 125
Irvine, CA 92614-5563
Phone (657) 900-4536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191105001449 | CA | Part B Supplier - Ambulatory Surgical Center | 6406188804 | Practice locations: Irvine, CA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Orange County Digestive Center Inc
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2170968 | Orange County Digestive Center | Certificate of waiver | Aug 21, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Gastroenterology Physician
- Santa Ana, CA
- NPI 1902952690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640044800000",
"number": "1114483492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 REYNOLDS AVE STE 125",
"city": "IRVINE",
"state": "CA",
"postal_code": "926145563",
"telephone_number": "657-900-4536",
"fax_number": "657-208-9732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 REYNOLDS AVE STE 125",
"city": "IRVINE",
"state": "CA",
"postal_code": "926145563",
"telephone_number": "657-900-4536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORANGE COUNTY DIGESTIVE CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-12",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A",
"authorized_official_last_name": "QURAISHI",
"authorized_official_first_name": "ESSAM",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "949-771-9910",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
- Optumrx
- Orange Coast Family Medical Group Inc.
- Orange Coast Head and Neck Surgery
- Orange Coast Laser Vision Center, Inc.
- Orange County Comprehensive Psychological Services, Inc
- Orange County Ear, Nose & Throat
- Orange County Family Therapy, Professional Corporation
- Orange County Fire Authority
- Orange County Health & Psychology Associates
- Orange County Health Psychologists, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.