Memorialcare Surgical Center at Saddleback LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MEMORIALCARE SURGICAL CENTER AT SADDLEBACK LLC

Doing business as

Laguna Hills Surgery Center
MemorialCare Surgical Center Laguna Woods

Practice address

24331 El Toro Rd Ste 150
Laguna Woods, CA 92637-8818

Phone

(949) 855-0562

Fax

(949) 855-0564

NPI assigned

Dec 6, 2012

Last updated

Dec 19, 2023By 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

Lisa Marie Engel

Title

Ceo

Phone

(949) 458-5600

Specialties & licenses 1

Addresses

Other names 2

• Laguna Hills Surgery Center Doing business as
• MemorialCare Surgical Center Laguna Woods Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Memorialcare Surgical Center at Saddleback LLC

  • Ambulatory Surgical Clinic/Center
  • Laguna Hills, CA
  • NPI 1356480099

  4486726635

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Memorialcare Surgical Center at Saddleback LLC

  dba Laguna Niguel Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Laguna Niguel, CA
  • NPI 1215338868

  O20080702000496

  Same enrollment
• Memorialcare Surgical Center at Saddleback LLC

  • Ambulatory Surgical Clinic/Center
  • Laguna Hills, CA
  • NPI 1356480099

  O20080702000496

  Same enrollment

Listed as

Memorial Care Surgical Center at Saddleback LLCCCN 05C0001616

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.

• Memorialcare Medical Foundation

  • Clinic/Center
  • Fountain Valley, CA
  • NPI 1205167350

  Member Of

  NPD member

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.

• Blake Andrew Ashley, M.D.

  • Surgery Physician
  • Laguna Hills, CA
  • NPI 1235150079
  NPD (past)
• Mary C Otoole, MD

  • Obstetrics & Gynecology Physician
  • Laguna Hills, CA
  • NPI 1790743748
  NPD (past)
• Thomas E. Rambacher, DPM

  • Podiatrist
  • Mission Viejo, CA
  • NPI 1295791838
  NPD (past)

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1245575919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24331 EL TORO RD STE 150",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926378818",
            "telephone_number": "949-855-0562",
            "fax_number": "949-855-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24331 EL TORO RD STE 150",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926378818",
            "telephone_number": "949-855-0562",
            "fax_number": "949-855-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIALCARE SURGICAL CENTER AT SADDLEBACK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "ENGEL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-458-5600"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laguna Hills Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MemorialCare Surgical Center Laguna Woods",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marvin a. Rawitch MD Facr Inc.
• Reni Roy Mathew, NP
• Jamie McDonald, OTR/L
• Amber McElfresh
• Me Pivot Holdings LLC
• Michael Goldman O.D.Incorporated (Laguna Eye Care Optometry)
• Laura A Milker, D.O.
• Katarzyna Modrzejewska, PHARMD.
• Mohsin Mahmood DDS Inc (Laguna Woods Dental Care)
• David Molho, MD

• Ambulatory Surgical Clinic/Center in Laguna Woods, CA
• Providers in Laguna Woods, 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 Dec 19, 2023; 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.