Organization Active NPI

Procedure Center of Irvine Inc.

Doing business as Procedure Center of Irvine

  • Ambulatory Surgical Clinic/Center
  • Irvine, CA
National Provider Identifier
1225058068
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
060000801 Issued in CA
Legal business name
PROCEDURE CENTER OF IRVINE INC.
Doing business as
Procedure Center of Irvine
Practice address
16100 Sand Canyon Ave
Suite 170
Irvine, CA 92618-3716
Phone
(949) 387-9700
Fax
(949) 387-9800
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Dr. Kenneth Masao Tokita, M.D.
Title
Medical Director
Phone
(949) 417-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 060000801 CA Primary

Addresses

Primary practice location

16100 Sand Canyon Ave
Suite 170
Irvine, CA 92618-3716

Mailing address

16100 Sand Canyon Ave
Suite 130
Irvine, CA 92618-3716
Phone (949) 417-1100

Other names 1

  • Procedure Center of Irvine Doing business as

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Procedure Center of IrvineCCN 05C0001700
Medicare certification status
Terminated Voluntary: merger or closure, May 22, 2025From the Provider of Services file

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
05D0985007Procedure Center of Irvine,the16100 Sand Canyon Ave Ste 170, Irvine, CA 92618Certificate of waiverApr 3, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1225058068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE",
            "address_2": "SUITE 130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183716",
            "telephone_number": "949-417-1100",
            "fax_number": "949-417-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 SAND CANYON AVE",
            "address_2": "SUITE 170",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183716",
            "telephone_number": "949-387-9700",
            "fax_number": "949-387-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCEDURE CENTER OF IRVINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "TOKITA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "MASAO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-417-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "060000801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Procedure Center of Irvine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Procedure Center of Irvine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 1, 2022; 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.