NPIMap

Organization Active NPI

Crown Valley Outpatient Surgical Center LLC

Doing business as Mission Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Mission Viejo, CA
National Provider Identifier
1225308257
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CROWN VALLEY OUTPATIENT SURGICAL CENTER LLC
Doing business as
Mission Endoscopy Center
Practice address
26921 Crown Valley Pkwy Ste 110
Mission Viejo, CA 92691-6501
Phone
(949) 367-1006
NPI assigned
Jan 6, 2012
Last updated
Nov 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Authorized official

Name
Nader Mirhoseni, MDNPI 1588645964
Title
Medical Director
Phone
(949) 367-1006

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

26921 Crown Valley Pkwy Ste 110
Mission Viejo, CA 92691-6501

Mailing address

26921 Crown Valley Pkwy Ste 110
Mission Viejo, CA 92691-6501
Phone (949) 361-1006

Other names 1

  • Mission Endoscopy Center Doing business as

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Crown Valley Outpatient Surgical Center LLCCCN 05C0001995
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1225308257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26921 CROWN VALLEY PKWY STE 110",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916501",
            "telephone_number": "949-361-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26921 CROWN VALLEY PKWY STE 110",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916501",
            "telephone_number": "949-367-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN VALLEY OUTPATIENT SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "MIRHOSENI",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-367-1006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.