Organization Active NPI

Newport Aesthetic Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1164365862
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NEWPORT AESTHETIC SURGERY CENTER LLC
Practice address
1401 Avocado Ave Ste 301
Newport Beach, CA 92660-8729
Phone
(949) 755-0575
Fax
(949) 755-0580
NPI assigned
Apr 9, 2026
Last updated
Apr 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Authorized official

Name
Keyian Paydar, MDNPI 1578681573
Title
Owner
Phone
(949) 755-0575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1401 Avocado Ave Ste 301
Newport Beach, CA 92660-8729

Mailing address

1401 Avocado Ave Ste 301
Newport Beach, CA 92660-8729
Phone (949) 755-0575

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
05D2272179Newport Aesthetic Surgery Center LLC1401 Avocado Suite 301, Newport Beach, CA 92660Certificate of waiverNov 14, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1164365862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608729",
            "telephone_number": "949-755-0575",
            "fax_number": "949-755-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608729",
            "telephone_number": "949-755-0575",
            "fax_number": "949-755-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT AESTHETIC SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "PAYDAR",
        "authorized_official_first_name": "KEYIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-755-0575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "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 Apr 9, 2026; 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.