Active NPI
Mobisurg, Inc.
- Ambulatory Surgical Clinic/Center
- Laguna Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- G75045
- Legal business name
- MOBISURG, INC.
- Doing business as
- Pacific Anesthesia Surgical Services
- Practice address
- 23025 Mill Creek Dr
Laguna Hills, CA 92653-1257 - Phone
- (949) 367-0800
- Fax
- (949) 313-7858
- NPI assigned
- Aug 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shahriar Alikhani, MD
- Title
- Medical Director
- Phone
- (949) 367-0800
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | G75045 | CA | Primary |
Addresses
Primary practice location
23025 Mill Creek Dr
Laguna Hills, CA 92653-1257
Mailing address
23025 Mill Creek Dr
Laguna Hills, CA 92653-1257
Phone (949) 367-0800
Other names 2
- Pacific Anesthesia Surgical Services
- Pediatric and Specialty Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181217000567 | CA | Part B Supplier - Ambulatory Surgical Center | 6901141191 | Practice locations: Laguna Hills, CA |
Ambulatory surgical center certification: CCN 55C0001115
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- Pacific Anesthesia Surgical Services
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Jul 15, 2022
- Last certification
- Jul 8, 2022
- Ownership / control type
- Proprietary
- Facility address
- 23025 Mill Creek Dr
Laguna Hills, CA 92653
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1102490 | Mobisurg, Inc | Certificate of waiver | Jul 19, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Laguna Hills, CA
- NPI 1861446833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679616000000",
"number": "1265689046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23025 MILL CREEK DR",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531257",
"telephone_number": "949-367-0800",
"fax_number": "949-313-7858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23025 MILL CREEK DR",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531257",
"telephone_number": "949-367-0800",
"fax_number": "949-313-7858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBISURG, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-22",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A",
"authorized_official_last_name": "ALIKHANI",
"authorized_official_first_name": "SHAHRIAR",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "949-367-0800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "G75045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pacific Anesthesia Surgical Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pediatric and Specialty Surgery Center",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Pediatric and Specialty Surgery Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.