Foothill Ranch Surgi-Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FOOTHILL RANCH SURGI-CENTER

Practice address

26781 Portola Pkwy
Suite 4E
Foothill Ranch, CA 92610-1758

Phone

(949) 837-3000

Fax

(949) 837-7585

NPI assigned

Feb 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Vibha H Patel

Title

Administrator

Phone

(949) 837-3000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407994270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26781 PORTOLA PKWY",
            "address_2": "SUITE 4E",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926101758",
            "telephone_number": "949-837-3000",
            "fax_number": "949-837-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26781 PORTOLA PKWY",
            "address_2": "SUITE 4E",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926101758",
            "telephone_number": "949-837-3000",
            "fax_number": "949-837-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL RANCH SURGI-CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIBHA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-837-3000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Farrell, PHARMD
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• Carleton Scott Fong, O.D.
• Terry A Fong, ND
• Foothill Ranch Eye Care
• Robin Chester Fraser, LCSW
• Grace Elizabeth Fritts
• Brandon Funai, DPT
• Garfield Beach CVS LLC (CVS Pharmacy #16339)
• Garfield Beach CVS LLC (CVS Pharmacy 08834)

• Ambulatory Surgical Clinic/Center in Foothill Ranch, CA
• Providers in Foothill Ranch, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• 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.