Mission Ambulatory Surgicenter LTD.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

060000265 Issued in CA

Legal business name

MISSION AMBULATORY SURGICENTER LTD.

Doing business as

Mission Surgery Center

Practice address

26730 Crown Valley Pkwy
Suite 100
Mission Viejo, CA 92691-6364

Phone

(949) 364-2201

Fax

(949) 364-5372

NPI assigned

May 10, 2006

Last updated

May 6, 2009By 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. Ramona L Dwight

Title

Business Manager

Phone

(949) 364-2201

Specialties & licenses 1

Addresses

Other names 1

• Mission Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Mission Ambulatory SurgicenterCCN 05C0001174

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

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Head and Neck Associates of Orange County an Incorprate

  • Specialist
  • Mission Viejo, CA
  • NPI 1427093046

  Member Of

  NPD member
• Mission Hospital Regional Medical Center

  dba Providence Mission Hospital

  • General Acute Care Hospital
  • Mission Viejo, CA
  • NPI 1912108002

  Member Of

  NPD member

Locations

Practitioners 3

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.

• James Kent Bredenkamp, MD

  • Specialist
  • Mission Viejo, CA
  • NPI 1023047586
  NPD
• Michael Cho, MD

  • Otolaryngology Physician
  • Mission Viejo, CA
  • NPI 1750313508
  NPD
• John Stanley Supance, MD

  • Specialist
  • Mission Viejo, CA
  • NPI 1194751727
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1497705883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26730 CROWN VALLEY PKWY",
            "address_2": "SUITE 100",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916364",
            "telephone_number": "949-364-2201",
            "fax_number": "949-364-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26730 CROWN VALLEY PKWY",
            "address_2": "SUITE 100",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916364",
            "telephone_number": "949-364-2201",
            "fax_number": "949-364-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION AMBULATORY SURGICENTER LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "DWIGHT",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "949-364-2201",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "060000265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nader Mirhoseni, M.D.
• Hersela Mirzatuny, PHARM D
• John David Misa, PH.D.
• Emily Blair Mishler, PA
• Mission Advanced Pain Management & Spine Center, P.C.
• Mission Audiology, Inc
• Mission Center for Longevity & Aesthetic Medicine
• Mission Children's Medical Group, Inc
• Mission Chiropractic
• Mission Endoscopy Center Inc

• Ambulatory Surgical Clinic/Center in Mission Viejo, CA
• Providers in Mission Viejo, 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 May 6, 2009; 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.