Newport Centre Outpatient Surgery Facilities, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

C38533 Issued in CA

Legal business name

NEWPORT CENTRE OUTPATIENT SURGERY FACILITIES, INC.

Practice address

360 San Miguel Dr Ste 207
Newport Beach, CA 92660-7820

Phone

(949) 721-1113

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael V. Elam, M.D.

Title

Owner

Phone

(949) 721-1113

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285838425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 207",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607820",
            "telephone_number": "949-721-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 207",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607820",
            "telephone_number": "949-721-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT CENTRE OUTPATIENT SURGERY FACILITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-721-1113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "C38533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NO.",
            "identifier": "C38533",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Newport Center Medical Group
• Newport Center Orthopedic, Inc
• Newport Center Pharmacy
• Newport Center Radiology Associates Medical Group Inc
• Newport Center Surgical
• Newport Children'S Medical Group
• Newport Chiropractic Center
• Newport Coast Center for Facial Plastic Surgery
• Newport Coast Dermatology
• Newport Coast Outpatient Surgery Center

• Ambulatory Surgical Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, 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 Aug 22, 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.