Organization Active NPI

Orange Coast Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Anaheim, CA
National Provider Identifier
1407086044
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A49872 Issued in CA
Legal business name
ORANGE COAST SURGERY CENTER
Practice address
1000 S Anaheim Blvd Suite 300
Anaheim, CA 92805-5804
Phone
(714) 399-0046
Fax
(714) 399-0049
NPI assigned
Jul 16, 2009
Last updated
Jul 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Mr. Krishna Prasad Surapaneni, M.D.NPI 1295030096
Title
Owner/Ceo
Phone
(714) 399-0046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A49872 CA Primary

Addresses

Primary practice location

1000 S Anaheim Blvd Suite 300
Anaheim, CA 92805-5804

Mailing address

1000 S Anaheim Blvd Ste 300
Anaheim, CA 92805-5804
Phone (714) 399-0046

Other names 1

  • Orange Coast MRI Other name

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1407086044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S ANAHEIM BLVD STE 300",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055804",
            "telephone_number": "714-399-0046",
            "fax_number": "714-399-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S ANAHEIM BLVD SUITE 300",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055804",
            "telephone_number": "714-399-0046",
            "fax_number": "714-399-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COAST SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "SURAPANENI",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "PRASAD",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "714-399-0046",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A49872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange Coast MRI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 16, 2009; 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.