Newport Bay Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NEWPORT BAY SURGERY CENTER, LLC

Practice address

3333 W Coast Hwy
Suite 100
Newport Beach, CA 92663-4036

Phone

(949) 645-6272

Fax

(949) 999-0151

NPI assigned

Feb 13, 2007

Last updated

Apr 4, 2008By 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

Regina Boore

Title

Manager

Phone

(858) 735-2192

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Newport Bay Surgery CenterCCN 05C0001826

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hoag Memorial Hospital Presbyterian

  • Rehabilitation Hospital Unit
  • Newport Beach, CA
  • NPI 1750875670

  Member Of

  NPD member

Locations

Practitioners 3

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.

• Jared Ronald Younger, MD, MPH

  • Ophthalmology Physician
  • Fountain Valley, CA
  • NPI 1740492271
  Medicare reassignment NPD
• Daniel Charles Kline, M.D.

  • Ophthalmology Physician
  • Irvine, CA
  • NPI 1861561276
  NPD (past)
• David Gwyn Woodward, MD

  • Anesthesiology Physician
  • Newport Beach, CA
  • NPI 1831244383
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1245372531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 W COAST HWY",
            "address_2": "SUITE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634036",
            "telephone_number": "949-645-6272",
            "fax_number": "949-999-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W COAST HWY",
            "address_2": "SUITE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634036",
            "telephone_number": "949-645-6272",
            "fax_number": "949-999-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT BAY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "BOORE",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "858-735-2192"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Newport Bay Hospital
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• Newport Beach Endoscopy Center, LLC
• Newport Beach Gastroenterology Assoc

• 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 Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.