NPIMap

Organization Active NPI

Center for Advanced Laparoscopic Surgery Inc

Doing business as Calsurg

  • Surgery Physician
  • Tustin, CA
National Provider Identifier
1235323361
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CENTER FOR ADVANCED LAPAROSCOPIC SURGERY INC
Doing business as
Calsurg
Practice address
12791 Newport Avenue
Suite 208
Tustin, CA 92780-8023
Phone
(949) 722-7662
NPI assigned
Aug 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Brian Bernard Quebbemann, MD
Title
Ceo/President
Phone
(949) 233-2294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

12791 Newport Avenue
Suite 208
Tustin, CA 92780-8023

Mailing address

10 Tahoe
Irvine, CA 92612-2224
Phone (949) 722-7662

Other practice location 1

9808 Venice Blvd Ste P
Culver City, CA 90232-2732
Phone (949) 722-7662

Other names 1

  • Calsurg Doing business as

National Provider Directory

National Provider Directory

Locations

9808 Venice Blvd
Ste P
Culver City, CA 90232

496 Old Newport Blvd
Ste 6
Newport Beach, CA 92663
Phone (714) 378-5790

3701 Birch St
Ste 200
Newport Beach, CA 92660
Phone (949) 722-7666

881 Dover Dr
Ste 100
Newport Beach, CA 92663

2617 E Chapman Ave
Ste 105
Orange, CA 92869
Phone (714) 639-1915

Practitioners & affiliated clinicians

Practitioners 8

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": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1235323361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TAHOE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122224",
            "telephone_number": "949-722-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12791 NEWPORT AVENUE",
            "address_2": "SUITE 208",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927808023",
            "telephone_number": "949-722-7662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9808 Venice Blvd Ste P",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902322732",
            "country_code": "US",
            "telephone_number": "949-722-7662",
            "fax_number": "949-631-6585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR ADVANCED LAPAROSCOPIC SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "QUEBBEMANN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "949-233-2294",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calsurg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.