Organization Active NPI

Crown Valley Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Mission Viejo, CA
National Provider Identifier
1124068549
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CROWN VALLEY SURGERY CENTER
Practice address
26921 Crown Valley Pkwy
110
Mission Viejo, CA 92691-6501
Phone
(949) 348-7252
Fax
(949) 348-7675
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Mr. William James Gray, RN
Title
Admimistrator
Phone
(949) 348-7252

Specialties & licenses 1

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

Addresses

Primary practice location

26921 Crown Valley Pkwy
110
Mission Viejo, CA 92691-6501

Mailing address

26921 Crown Valley Pkwy
110
Mission Viejo, CA 92691-6501
Phone (949) 348-7252

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1124068549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26921 CROWN VALLEY PKWY",
            "address_2": "110",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916501",
            "telephone_number": "949-348-7252",
            "fax_number": "949-348-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26921 CROWN VALLEY PKWY",
            "address_2": "110",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916501",
            "telephone_number": "949-348-7252",
            "fax_number": "949-348-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN VALLEY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "ADMIMISTRATOR",
        "authorized_official_telephone_number": "949-348-7252",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.