Prestige Surgery Center at Newport Beach

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

3688283 Issued in CA

Legal business name

PRESTIGE SURGERY CENTER AT NEWPORT BEACH

Practice address

20301 SW Birch St
102
Newport Beach, CA 92660-1754

Phone

(949) 251-1502

Fax

(949) 251-1522

NPI assigned

Apr 28, 2015

Last updated

Apr 28, 2015By 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

Dr. Hisham Seify, MDNPI 1629163365

Title

Owner

Phone

(949) 251-1502

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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.

• Hisham Mohamed Seify, MD

  • Plastic and Reconstructive Surgery Physician
  • Newport Beach, CA
  • NPI 1629163365
  Authorized official Same address or phone

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1528445681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20301 SW BIRCH ST",
            "address_2": "102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601754",
            "telephone_number": "949-251-1502",
            "fax_number": "949-251-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20301 SW BIRCH ST",
            "address_2": "102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601754",
            "telephone_number": "949-251-1502",
            "fax_number": "949-251-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE SURGERY CENTER AT NEWPORT BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "SEIFY",
        "authorized_official_first_name": "HISHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-251-1502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "3688283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, 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 Apr 28, 2015; 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.