Organization Active NPI

Newport Coast Surgery Center, LP

  • Ambulatory Surgical Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1457324857
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
060000533 Issued in CA
Legal business name
NEWPORT COAST SURGERY CENTER, LP
Practice address
1441 Avocado Ave
Suite 103
Newport Beach, CA 92660-7721
Phone
(949) 718-3600
Fax
(949) 718-4320
NPI assigned
Feb 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Ms. Delgash Dosky
Title
Coo
Phone
(949) 644-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 060000533 CA Primary

Addresses

Primary practice location

1441 Avocado Ave
Suite 103
Newport Beach, CA 92660-7721

Mailing address

1401 Avocado Ave Ste 709
Newport Beach, CA 92660-8714
Phone (949) 644-5800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040612000282 CA Part B Supplier - Ambulatory Surgical Center 5395728919 Practice locations: Newport Beach, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Newport Coast Surgery Center LPCCN 05C0001475
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2415 Campus Dr
Ste 100
Irvine, CA 92612

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17343/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1457324857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 709",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608714",
            "telephone_number": "949-644-5800",
            "fax_number": "949-999-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE",
            "address_2": "SUITE 103",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607721",
            "telephone_number": "949-718-3600",
            "fax_number": "949-718-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT COAST SURGERY CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "DOSKY",
        "authorized_official_first_name": "DELGASH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "949-644-5800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "060000533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.