NPIMap

Organization Active NPI

Innovation Surgery Inc.

  • Surgery Physician
  • Irvine, CA
National Provider Identifier
1215302393
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A101690 Issued in CA
Legal business name
INNOVATION SURGERY INC.
Practice address
50 Deer Trak
Irvine, CA 92618-8812
Phone
(949) 701-6606
Fax
(949) 681-8144
NPI assigned
Dec 1, 2015
Last updated
Dec 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Atif Iqbal, MD
Title
Owner/President
Phone
(949) 701-6606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A101690 CA Primary

Addresses

Primary practice location

50 Deer Trak
Irvine, CA 92618-8812

Mailing address

19671 Beach Blvd
Suite 300
Hunington Beach, CA 92648
Phone (949) 701-6606

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1215302393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19671 BEACH BLVD",
            "address_2": "SUITE 300",
            "city": "HUNINGTON BEACH",
            "state": "CA",
            "postal_code": "92648",
            "telephone_number": "949-701-6606",
            "fax_number": "949-681-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 DEER TRAK",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926188812",
            "telephone_number": "949-701-6606",
            "fax_number": "949-681-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION SURGERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "ATIF",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "949-701-6606",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A101690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.