Organization Active NPI

MD Anaheim Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • Anaheim, CA
National Provider Identifier
1376885400
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MD ANAHEIM SURGERY CENTER INC
Practice address
1000 S Anaheim Blvd
Suite 300
Anaheim, CA 92805
Phone
(714) 833-5558
Fax
(714) 833-5527
NPI assigned
Mar 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Prof. Gary Chen, M.D.NPI 1831123934
Title
Medical Director
Phone
(562) 547-6241

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
Ambulatory Surgical Clinic/Center 261QA1903X CA Primary

Addresses

Primary practice location

1000 S Anaheim Blvd
Suite 300
Anaheim, CA 92805

Mailing address

PO Box 25305
Anaheim, CA 92825-5305
Phone (714) 833-5558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151020001770 CA Part B Supplier - Ambulatory Surgical Center 0648589333 Practice locations: Anaheim, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
MD Anaheim Surgery Center IncCCN 05C0002070
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1376885400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25305",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928255305",
            "telephone_number": "714-833-5558",
            "fax_number": "714-833-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S ANAHEIM BLVD",
            "address_2": "SUITE 300",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92805",
            "telephone_number": "714-833-5558",
            "fax_number": "714-833-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD ANAHEIM SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-547-6241",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.