Memorialcare Surgical Center at Saddleback LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MEMORIALCARE SURGICAL CENTER AT SADDLEBACK LLC

Practice address

24411 Health Center Dr
Suite 104
Laguna Hills, CA 92653-3651

Phone

(949) 458-5600

Fax

(949) 458-5621

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Lisa Marie Engel

Title

Ceo

Phone

(949) 458-5600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Memorialcare Surgical Center at Saddleback LLC

  • Ambulatory Surgical Clinic/Center
  • Laguna Woods, CA
  • NPI 1245575919

  4486726635

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Memorialcare Surgical Center at Saddleback LLC

  • Ambulatory Surgical Clinic/Center
  • Laguna Niguel, CA
  • NPI 1215338868

  O20080702000496

  Same enrollment
• Memorialcare Surgical Center at Saddleback LLC

  • Ambulatory Surgical Clinic/Center
  • Laguna Woods, CA
  • NPI 1245575919

  O20080702000496

  Same enrollment

Listed as

Memorialcare Surgical Center at Saddleback LLCCCN 05C0001846

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 3

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

• Memorialcare Medical Foundation

  • Clinic/Center
  • Fountain Valley, CA
  • NPI 1205167350

  Member Of

  NPD member
• Saddleback Memorial Medical Center

  • Community Based Hospice Care Agency
  • Laguna Hills, CA
  • NPI 1922048511

  Member Of

  NPD member
• Dignity Health

  • Neurological Surgery Physician
  • Henderson, NV
  • NPI 1720358039

  Member Of

  NPD member

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1356480099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24411 HEALTH CENTER DR",
            "address_2": "SUITE 104",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533651",
            "telephone_number": "949-458-5600",
            "fax_number": "949-458-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24411 HEALTH CENTER DR",
            "address_2": "SUITE 104",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533651",
            "telephone_number": "949-458-5600",
            "fax_number": "949-458-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIALCARE SURGICAL CENTER AT SADDLEBACK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "ENGEL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-458-5600"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "S051846",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ghada Melik
• Memorial Radiation Oncology Medical
• Memorial Radiation Oncology Medical Group
• Memorialcare Health System
• Memorialcare Home Health - LLC
• Lisamarie Menard, AMFT
• Susan A Mendelsohn, MD
• Elloitt Mercer, M.D.
• Andrew Merritt, M.D.
• Edward Joseph Mescher, M.D

• All providers in Laguna Hills, CA
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.