Diversified Ambulatory Surgical Medical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

70617 Issued in CA

Legal business name

DIVERSIFIED AMBULATORY SURGICAL MEDICAL CENTER

Doing business as

Newport Crest Surgical Center

Practice address

4100 Birch St Ste 200
Newport Beach, CA 92660-2275

Phone

(949) 417-0420

Fax

(877) 631-2676

NPI assigned

Jun 13, 2007

Last updated

Feb 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kamer MigirdichianNPI 1265581292

Title

Ceo

Phone

(949) 417-0420

Specialties & licenses 1

Addresses

Other names 1

• Newport Crest Surgical Center Doing business as

Practitioners 1

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.

• Kamer Migirdichian, D.C.

  • Chiropractor
  • Newport Beach, CA
  • NPI 1265581292
  Authorized official Same address or phone

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1235333006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 BIRCH ST STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602275",
            "telephone_number": "949-417-0420",
            "fax_number": "877-631-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 BIRCH ST STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602275",
            "telephone_number": "949-417-0420",
            "fax_number": "877-631-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED AMBULATORY SURGICAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "MIGIRDICHIAN",
        "authorized_official_first_name": "KAMER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-417-0420"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "70617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport Crest Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Disc Sports and Spine Center at Newport Beach
• Disc Surgery Center of Newport Beach
• Discovery Practice Management, Inc (Center For Discovery, Newport Beach)
• Distinction Surgery Center (Orange County Surgery Center)
• Michael Ditolla, D.D.S.
• Rolane Tweenie T. Tacbas Diya, AU.D.
• Regina Bacani Dizon, PMHNP-BC
• Vania Djavid
• Adam Vojin Djurdjulov, M.D.
• Duc H. DO, M.D.

• Ambulatory Surgical Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.