Active NPI
Disc Surgery Center of Newport Beach
- Ambulatory Surgical Clinic/Center
- Newport Beach, CA
National Provider Identifier
1154600377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- DISC SURGERY CENTER OF NEWPORT BEACH
- Practice address
- 3501 Jamboree Rd
Suite 1200
Newport Beach, CA 92660-2939 - Phone
- (949) 988-7888
- Fax
- (949) 509-7907
- NPI assigned
- Aug 4, 2011
- 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
- Robert S Bray Jr., M.D.
- Title
- President and Ceo
- Phone
- (310) 574-0450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | CA | Primary |
Addresses
Primary practice location
3501 Jamboree Rd
Suite 1200
Newport Beach, CA 92660-2939
Mailing address
13160 Mindanao Way
Suite 300
Marina del Rey, CA 90292-6358
Phone (310) 574-0450
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 |
|---|---|---|---|
| 05D2029886 | Disc Surgery Center at Newport Beach | Certificate of waiver | Sep 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
3501 Jamboree Rd
Ste 1200
Newport Beach, CA 92660
Phone (949) 988-7800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312416000000",
"number": "1154600377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13160 MINDANAO WAY",
"address_2": "SUITE 300",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926358",
"telephone_number": "310-574-0450",
"fax_number": "310-574-0371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 JAMBOREE RD",
"address_2": "SUITE 1200",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602939",
"telephone_number": "949-988-7888",
"fax_number": "949-509-7907"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISC SURGERY CENTER OF NEWPORT BEACH",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-04",
"last_updated": "2011-08-04",
"status": "A",
"authorized_official_last_name": "BRAY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "310-574-0450",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
- Philip C Diorio, M.D.
- Angela Nicole Dipasquale
- Dipti Itchhaporia Medical Corporation
- Disc Comfort Inc.
- Disc Sports and Spine Center at Newport Beach
- Discovery Practice Management, Inc
- Distinction Surgery Center
- Michael Ditolla, D.D.S.
- Diversified Ambulatory Surgical Medical Center
- Rolane Tweenie T. Tacbas Diya, AU.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.