Superior Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SUPERIOR SURGERY CENTER

Doing business as

Newport Superior Surgery Center

Practice address

1501 Superior Ave Ste 211
Newport Beach, CA 92663-3640

Phone

(949) 270-6013

NPI assigned

Jun 10, 2021

Last updated

Jun 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shahrooz Sean Kelishadi, MDNPI 1831225952

Title

Plastic Surgeon

Phone

(949) 515-7874

Specialties & licenses 1

Addresses

Other names 1

• Newport Superior Surgery Center Doing business as

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.

• Shahrooz Sean Kelishadi, MD

  • Plastic Surgery Physician
  • Newport Beach, CA
  • NPI 1831225952
  NPD Authorized official

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1154998771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVE STE 211",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633640",
            "telephone_number": "949-270-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVE STE 211",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633640",
            "telephone_number": "949-270-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "KELISHADI",
        "authorized_official_first_name": "SHAHROOZ",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "PLASTIC SURGEON",
        "authorized_official_telephone_number": "949-515-7874",
        "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": [
        {
            "organization_name": "Newport Superior Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Gregory Super, M.D.
• Superior Family Medical Group Inc
• Superior Performance Physical Therapy PC
• Superior Psychiatric Services
• Superior Surgery Center
• Superior TMS Center
• Superior Wound Care and Physical Therapy, Inc
• Roger Sur, MD
• Ahlam Suradi
• Spurty Surapaneni, LP

• Ambulatory Surgical Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.