Organization Active NPI

Ocean Surgical Inc

  • Surgery Physician
  • Placentia, CA
National Provider Identifier
1184313587
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
OCEAN SURGICAL INC
Practice address
1041 E Yorba Linda Blvd Ste 306
Placentia, CA 92870-3751
Phone
(657) 216-6090
NPI assigned
May 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Randall Cornateanu, MDNPI 1043606429
Title
Owner
Phone
(951) 314-3088

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
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1041 E Yorba Linda Blvd Ste 306
Placentia, CA 92870-3751

Mailing address

900 S Main St Ste 109
Corona, CA 92882-3401
Phone (657) 216-6090

Other practice location 1

900 S Main St Ste 109
Corona, CA 92882-3401
Phone (657) 216-6090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230809003535 CA Part B Supplier - Clinic/Group Practice 0345602280 Receives reassigned benefits from 2 practitioners
Practice locations: Corona, CA; Placentia, CA

National Provider Directory

National Provider Directory

Locations

900 S Main St
Ste 109
Corona, CA 92882
Phone (657) 216-6090

1325 N Rose Dr
Ste 105
Placentia, CA 92870

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1184313587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S MAIN ST STE 109",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823401",
            "telephone_number": "657-216-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 E YORBA LINDA BLVD STE 306",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703751",
            "telephone_number": "657-216-6090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 S Main St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928823401",
            "country_code": "US",
            "telephone_number": "657-216-6090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OCEAN SURGICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "CORNATEANU",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-314-3088",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.