Organization Active NPI

Irvine Surgical Partners LLC

  • Ambulatory Surgical Clinic/Center
  • Irvine, CA
National Provider Identifier
1316395270
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
IRVINE SURGICAL PARTNERS LLC
Practice address
16405 Sand Canyon Ave
Building a Suite 100
Irvine, CA 92618-3785
Phone
(801) 580-3141
NPI assigned
Jun 1, 2016
Last updated
Jun 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Authorized official

Name
Glen R Reiner
Title
SVP
Phone
(602) 373-3565

Specialties & licenses 1

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

Addresses

Primary practice location

16405 Sand Canyon Ave
Building a Suite 100
Irvine, CA 92618-3785

Mailing address

16405 Sand Canyon Ave
Building a Suite 100
Irvine, CA 92618-3785
Phone (801) 580-3141

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Irvine Surgical PartnersCCN 05C0002145
Medicare certification status
Terminated Voluntary: merger or closure, Jun 17, 2024From the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

16405 Sand Canyon Ave
Ste 100
Irvine, CA 92618
Phone (239) 370-1845

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1316395270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16405 SAND CANYON AVE",
            "address_2": "BUILDING A SUITE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183785",
            "telephone_number": "801-580-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16405 SAND CANYON AVE",
            "address_2": "BUILDING A SUITE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183785",
            "telephone_number": "801-580-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINE SURGICAL PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "REINER",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "602-373-3565"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.