Mile Square Surgery Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

S051526 Issued in CA

Legal business name

MILE SQUARE SURGERY CENTER INC

Practice address

10760 Warner Avenue
102
Fountain Valley, CA 92708

Phone

(714) 274-0388

Fax

(714) 274-0387

NPI assigned

Jun 16, 2005

Last updated

Dec 17, 2014By 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

Douglas A. Tran, M.D.NPI 1922003623

Title

Doctor

Phone

(714) 274-0388

Specialties & licenses 1

Addresses

Listed as

Mile Square Surgery Center IncCCN 05C0001526

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Practitioners 1

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.

• Douglas A. Tran, MD

  • Otolaryngology Physician
  • Fountain Valley, CA
  • NPI 1922003623
  NPD (past) Authorized official

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1447255435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10760 WARNER AVENUE",
            "address_2": "102",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-274-0388",
            "fax_number": "714-274-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10760 WARNER AVENUE",
            "address_2": "102",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-274-0388",
            "fax_number": "714-274-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE SQUARE SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "714-274-0388",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "S051526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack K Middlebrooks, MD
• Rufina Pamela Mae Tuyac Miel, MD
• Mike Hung Tran, M.D. Inc
• Mikio Tachibana, M.D., Inc
• Sina Jalali Milani, MD
• Milestones Behavioral Interventions
• Miller Chiropractic Center Inc
• Alexandria Miller
• Cassidy Miller
• Layn F Miller, DC

• Ambulatory Surgical Clinic/Center in Fountain Valley, CA
• Providers in Fountain Valley, 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 Dec 17, 2014; 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.