Organization Active NPI

Mosaic Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Huntington Beach, CA
National Provider Identifier
1508034380
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A64785 Issued in CA
Legal business name
MOSAIC SURGERY CENTER, LLC
Practice address
17742 Beach Blvd
Ste. #335
Huntington Beach, CA 92647-6818
Phone
(714) 848-1133
Fax
(714) 848-4114
NPI assigned
Feb 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Dr. Steve T. Vu, M.D.NPI 1225081953
Title
Owner
Phone
(714) 848-1133

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 A64785 CA Primary

Addresses

Primary practice location

17742 Beach Blvd
Ste. #335
Huntington Beach, CA 92647-6818

Mailing address

17742 Beach Blvd
Ste. #335
Huntington Beach, CA 92647-6818
Phone (714) 848-1133

Other identifiers 3

IdentifierTypeStateIssuer
WA64785BOtherCAMCARE PROF INDIVID PIN #
1043264534OtherCAPROFESSIONAL CORP NPI #
1225081953OtherCAPROFESSION INDIVID NPI #

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1091863Mosaic Surgery Center, LLC17742 Beach Blvd #335, Huntington Beach, CA 92647Certificate of waiverNov 11, 2026

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": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1508034380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17742 BEACH BLVD",
            "address_2": "STE. #335",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476818",
            "telephone_number": "714-848-1133",
            "fax_number": "714-848-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17742 BEACH BLVD",
            "address_2": "STE. #335",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476818",
            "telephone_number": "714-848-1133",
            "fax_number": "714-848-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-848-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A64785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE PROF INDIVID PIN #",
            "identifier": "WA64785B",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL CORP NPI #",
            "identifier": "1043264534",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSION INDIVID NPI #",
            "identifier": "1225081953",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

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