Organization Active NPI

Mobisurg, Inc.

  • Ambulatory Surgical Clinic/Center
  • Laguna Hills, CA
National Provider Identifier
1265689046
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
G75045 Issued in CA
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

Updated by the provider on Mar 24, 2023

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

Authorized official

Name
Shahriar Alikhani, MDNPI 1861446833
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)CodeLicenseStatePrimary
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 Doing business as
  • Pediatric and Specialty Surgery Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1102490Mobisurg, Inc23025 Mill Creek Dr, Laguna Hills, CA 92653Certificate of waiverJul 19, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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

Verify at the official NPI Registry.