Organization Active NPI

Saddleback Outpatient Surgery Center LTD

  • Ambulatory Surgical Clinic/Center
  • Laguna Hills, CA
National Provider Identifier
1407969561
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SADDLEBACK OUTPATIENT SURGERY CENTER LTD
Practice address
24302 Paseo de Valencia
Laguna Hills, CA 92653-3115
Phone
(949) 472-0244
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Brian D Fitzgerald
Title
Administrator
Phone
(949) 472-4887

Specialties & licenses 1

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

Addresses

Primary practice location

24302 Paseo de Valencia
Laguna Hills, CA 92653-3115

Mailing address

24302 Paseo de Valencia
Laguna Hills, CA 92653-3115
Phone (949) 472-0244

Other names 1

  • Saddleback Valley Outpatient Surgery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407969561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24302 PASEO DE VALENCIA",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533115",
            "telephone_number": "949-472-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24302 PASEO DE VALENCIA",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533115",
            "telephone_number": "949-472-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADDLEBACK OUTPATIENT SURGERY CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-472-4887",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saddleback Valley Outpatient Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.