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
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.
Title
Owner/Ceo
Phone
(714) 399-0046

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

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.