NPIMap

Organization Active NPI

University Surgeons of Orange a Medical Group

Doing business as Regents of the University of California

  • Surgery Physician
  • Orange, CA
National Provider Identifier
1407806904
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
UNIVERSITY SURGEONS OF ORANGE A MEDICAL GROUP
Doing business as
Regents of the University of California
University Surgeons of Orange
Practice address
101 The City Dr S
Orange, CA 92868
Phone
(714) 456-7212
Fax
(714) 456-7601
NPI assigned
May 12, 2006
Last updated
May 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Sylvia Copen
Title
Provider Enrollment Manager
Phone
(714) 456-6227

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X NU
Surgery Physician 208600000X NU Primary
Surgical Critical Care Physician 2086S0102X NU
Pediatric Surgery Physician 2086S0120X NU
Vascular Surgery Physician 2086S0129X NU
Surgical Oncology Physician 2086X0206X NU
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X NU

Addresses

Primary practice location

101 The City Dr S
Orange, CA 92868

Mailing address

PO Box 31001-2446
Pasadena, CA 91110-2446

Other identifiers 7

IdentifierTypeStateIssuer
ZZZ54079ZOtherCABLUE SHIELD GROUP #
GR0052890OtherCAMEDI-CAL GROUP #
ZZZ54068ZOtherCABLUE SHIELD GROUP #
ZZZ54076ZOtherCABLUE SHIELD GROUP #
ZZZ54264ZOtherCABLUE SHIELD GROUP #
ZZZ54072ZOtherCABLUE SHIELD GROUP #
ZZZ54074ZOtherCABLUE SHIELD GROUP #

Other names 2

  • Regents of the University of California Doing business as
  • University Surgeons of Orange Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040106000614 CA Part B Supplier - Clinic/Group Practice 6901705227 Receives reassigned benefits from 216 practitioners
Practice locations: Orange, CA; Riverside, CA; Victorville, CA; Corona, CA

National Provider Directory

National Provider Directory

Locations

101 The City Dr S
#B10
Orange, CA 92868
Phone (714) 634-5549

3660 Park Sierra Dr
Ste 105
Riverside, CA 92505
Phone (951) 278-8870

36243 Inland Valley Dr
Ste 280
Wildomar, CA 92595
Phone (951) 278-8870

Practitioners & affiliated clinicians

Practitioners 237

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.

View all 237

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1407806904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-2446",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911102446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-456-7212",
            "fax_number": "714-456-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY SURGEONS OF ORANGE A MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "COPEN",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "714-456-6227"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "ZZZ54079Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL GROUP #",
            "identifier": "GR0052890",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "ZZZ54068Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "ZZZ54076Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "ZZZ54264Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "ZZZ54072Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "ZZZ54074Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regents of the University of California",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University Surgeons of Orange",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University Surgeons of Orange",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.