Alliance Surgery Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ALLIANCE SURGERY CENTER INC

Practice address

295 Imperial Highway
Suite 200B
Fullerton, CA 92835-1020

Phone

(714) 872-5372

Fax

(714) 872-5379

NPI assigned

Sep 13, 2006

Last updated

Jun 26, 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

Joshua Helms

Title

Chief Executive Officer

Phone

(813) 549-2134

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275638413. Details of each certification follow.

• CCN 050786 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 050786

Legal name

ALLIANCE SURGERY CENTER INC

Certification status

Terminated Voluntary: other reason for withdrawal, Feb 20, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Apr 9, 2020

Last certification

Apr 9, 2020

Beds

1

Ownership / control type

Private (for profit)

Facility address

295 Imperial Highway Suite 200 B
Fullerton, CA 92835

Listed as

Alliance Surgery Center IncCCN 05C0001839

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.

• Medhat F. Mikhael, M.D., Inc

  dba Pain Medicine Associates

  • Pain Medicine Physician
  • Fountain Valley, CA
  • NPI 1053341933

  Member Of

  NPD member

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.

• Howard Dedes, M.D.

  • Interventional Pain Medicine Physician
  • Fountain Valley, CA
  • NPI 1679760094
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1275638413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628760",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328628760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 IMPERIAL HIGHWAY",
            "address_2": "SUITE 200B",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928351020",
            "telephone_number": "714-872-5372",
            "fax_number": "714-872-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "HELMS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "813-549-2134"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Sue Allan, SPEECH PATHOLOGY
• Stephanie Alldredge, PT
• Diane L Allen, NP
• Robert William Allen, PHARMD
• Alliance Foot and Ankle Institute
• Allied Community Care & Support Systems, Inc
• C. Troy Allred, OD
• Amanda Almaraz
• Robert Almaraz
• Chris Almendarez

• Ambulatory Surgical Clinic/Center in Fullerton, CA
• Providers in Fullerton, 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 Jun 26, 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.

Verify at the official NPI Registry.