Advance Oc Surgical Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ADVANCE OC SURGICAL INC.

Practice address

3500 S. Bristol St.
Suite 200
Santa Ana, CA 92704

Phone

(714) 557-0777

Fax

(714) 557-0709

NPI assigned

Sep 15, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Omid Roham, D.O.

Title

Ceo

Phone

(949) 212-7133

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ali Roham, D.O.

  • Plastic Surgery Physician
  • Santa Ana, CA
  • NPI 1851690531
  NPD (past)

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505433600000",
    "number": "1427577907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S. BRISTOL ST.",
            "address_2": "SUITE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92704",
            "telephone_number": "714-557-0777",
            "fax_number": "714-557-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S. BRISTOL ST.",
            "address_2": "SUITE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92704",
            "telephone_number": "714-557-0777",
            "fax_number": "714-557-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE OC SURGICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2017-09-15",
        "status": "A",
        "authorized_official_last_name": "ROHAM",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "OMID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-212-7133",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Advanced Care

• Ambulatory Surgical Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, 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 Sep 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.