Organization Active NPI

Doctors Surgery Center, a Medical Corporation

Doing business as Guardian Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Fountain Valley, CA
National Provider Identifier
1275681579
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
DOCTORS SURGERY CENTER, A MEDICAL CORPORATION
Doing business as
Guardian Surgery Center
Practice address
10900 Warner Ave
Suite 101C
Fountain Valley, CA 92708-3846
Phone
(714) 698-1270
Fax
(714) 962-7261
NPI assigned
Jan 5, 2007
Last updated
Nov 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Authorized official

Name
Fritz Baumgartner, M.D.
Title
Chief Executive Officer
Phone
(714) 285-2385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

10900 Warner Ave
Suite 101C
Fountain Valley, CA 92708-3846

Mailing address

11037 Warner Ave
Suite 207
Fountain Valley, CA 92708-4007
Phone (714) 285-2385

Other identifiers 1

IdentifierTypeStateIssuer
05D1037474OtherCACLIA ID NUMBER

Other names 1

  • Guardian Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

10900 Warner Ave
Ste 101C
Fountain Valley, CA 92708
Phone (714) 698-1270

11037 Warner Ave
Ste 207
Fountain Valley, CA 92708

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1275681579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11037 WARNER AVE",
            "address_2": "SUITE 207",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084007",
            "telephone_number": "714-285-2385",
            "fax_number": "714-962-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 WARNER AVE",
            "address_2": "SUITE 101C",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083846",
            "telephone_number": "714-698-1270",
            "fax_number": "714-962-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS SURGERY CENTER, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "BAUMGARTNER",
        "authorized_official_first_name": "FRITZ",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "714-285-2385",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "05D1037474",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.