Organization Active NPI

Brea Surgical Center, a Medical Corporation

  • Ambulatory Surgical Clinic/Center
  • Brea, CA
National Provider Identifier
1497898647
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
C2037386 Issued in CA
Legal business name
BREA SURGICAL CENTER, A MEDICAL CORPORATION
Practice address
400 W Central Ave
Suite 101
Brea, CA 92821-3013
Phone
(714) 671-3033
Fax
(714) 671-1231
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Dr. Frederic H Corbin, M.D.NPI 1114007168
Title
President
Phone
(714) 671-3033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X C2037386 CA Primary

Addresses

Primary practice location

400 W Central Ave
Suite 101
Brea, CA 92821-3013

Mailing address

400 W Central Ave
Suite 101
Brea, CA 92821-3013
Phone (714) 671-3033

National Provider Directory

National Provider Directory

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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1497898647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W CENTRAL AVE",
            "address_2": "SUITE 101",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213013",
            "telephone_number": "714-671-3033",
            "fax_number": "714-671-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CENTRAL AVE",
            "address_2": "SUITE 101",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213013",
            "telephone_number": "714-671-3033",
            "fax_number": "714-671-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREA SURGICAL CENTER, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "CORBIN",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-671-3033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "C2037386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.