Organization Active NPI

Surgery Center at South Coast Plaza

  • Ambulatory Surgical Clinic/Center
  • Costa Mesa, CA
National Provider Identifier
1124314281
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SURGERY CENTER AT SOUTH COAST PLAZA
Practice address
3420 Bristol St
Suite 701
Costa Mesa, CA 92626-7170
Phone
(714) 619-2658
Fax
(855) 885-2620
NPI assigned
Jun 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Authorized official

Name
Dr. Hoang Louis Nguyen, MD
Title
Medical Director
Phone
(714) 619-2650

Specialties & licenses 1

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

Addresses

Primary practice location

3420 Bristol St
Suite 701
Costa Mesa, CA 92626-7170

Mailing address

3420 Bristol St
Suite 701
Costa Mesa, CA 92626-7170
Phone (714) 619-2658

National Provider Directory

National Provider Directory

Locations

3420 Bristol St
Ste 701
Costa Mesa, CA 92626
Phone (714) 619-2658

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1124314281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 BRISTOL ST",
            "address_2": "SUITE 701",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267170",
            "telephone_number": "714-619-2658",
            "fax_number": "855-885-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 BRISTOL ST",
            "address_2": "SUITE 701",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267170",
            "telephone_number": "714-619-2658",
            "fax_number": "855-885-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER AT SOUTH COAST PLAZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HOANG",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-619-2650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.