Organization Active NPI

Surgical Oasis Institute

  • Ambulatory Surgical Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1205490448
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SURGICAL OASIS INSTITUTE
Practice address
496 Old Newport Blvd Ste 2
Newport Beach, CA 92663-4264
Phone
(949) 646-8444
Fax
(949) 646-8388
NPI assigned
Apr 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Dr. Andrew Saeed Iraniha, MDNPI 1700887833
Title
Medical Director
Phone
(949) 646-8444

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

496 Old Newport Blvd Ste 2
Newport Beach, CA 92663-4264

Mailing address

496 Old Newport Blvd Ste 2
Newport Beach, CA 92663-4264
Phone (949) 646-8444

Other identifiers 1

IdentifierTypeStateIssuer
A55391OtherCASTATE MEDICAL LICENSE

Other names 1

  • surgical oasis institute Doing business as

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
05D2163039Surgical Oasis Institute496 Old Newport Boulevard, Suite 2, Newport Beach, CA 92663Certificate of waiverMar 5, 2027

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.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1205490448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 OLD NEWPORT BLVD STE 2",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634264",
            "telephone_number": "949-646-8444",
            "fax_number": "949-646-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 OLD NEWPORT BLVD STE 2",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634264",
            "telephone_number": "949-646-8444",
            "fax_number": "949-646-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL OASIS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2020-11-12",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "IRANIHA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "SAEED",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-646-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A55391",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "surgical oasis institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "surgical oasis institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 12, 2020; 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.