NPIMap

Organization Active NPI

Surgery Center of Pure

  • Dermatology Physician
  • Newport Beach, CA
National Provider Identifier
1285247569
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SURGERY CENTER OF PURE
Practice address
500 Superior Ave Ste 335
Newport Beach, CA 92663-3681
Phone
(949) 706-1469
Fax
(949) 706-7307
NPI assigned
Aug 26, 2020
Last updated
Aug 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Neda Mehr, MDNPI 1841432861
Title
Owner
Phone
(949) 706-1469

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
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

500 Superior Ave Ste 335
Newport Beach, CA 92663-3681

Mailing address

500 Superior Ave Ste 335
Newport Beach, CA 92663-3681
Phone (949) 706-1469

National Provider Directory

National Provider Directory

Locations

500 Superior Ave
Ste 335
Newport Beach, CA 92663
Phone (949) 706-1469

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1285247569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SUPERIOR AVE STE 335",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633681",
            "telephone_number": "949-706-1469",
            "fax_number": "949-706-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUPERIOR AVE STE 335",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633681",
            "telephone_number": "949-706-1469",
            "fax_number": "949-706-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF PURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "MEHR",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-706-1469",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.