Organization Active NPI

Disc Surgery Center of Newport Beach

  • Ambulatory Surgical Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1154600377
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Aug 4, 2011

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2029886Disc Surgery Center at Newport Beach3501 Jamboree Rd. Suite 1200, Newport Beach, CA 92660Certificate of waiverSep 15, 2027

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.