Organization Active NPI

Iqbal Surgical Associates,Inc.

Doing business as New Life Surgery

  • Surgery Physician
  • Fountain Valley, CA
National Provider Identifier
1528480753
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
IQBAL SURGICAL ASSOCIATES,INC.
Doing business as
New Life Surgery
Practice address
18225 Brookhurst St Ste 5
Fountain Valley, CA 92708-6719
Phone
(714) 599-8222
Fax
(714) 599-8223
NPI assigned
Jan 7, 2014
Last updated
May 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Atif Iqbal, MDNPI 1669592473
Title
MD
Phone
(714) 599-8222

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
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

18225 Brookhurst St Ste 5
Fountain Valley, CA 92708-6719

Mailing address

18225 Brookhurst St Ste 5
Fountain Valley, CA 92708-6719
Phone (714) 599-8222

Other identifiers 1

IdentifierTypeStateIssuer
104130MedicaidCA

Other names 1

  • New Life Surgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150515000147 CA Part B Supplier - Clinic/Group Practice 5799005757 Receives reassigned benefits from 4 practitioners
Practice locations: Fountain Valley, CA

National Provider Directory

National Provider Directory

Locations

18225 Brookhurst St
Fountain Valley, CA 92708

18225 Brookhurst St
Ste 5
Fountain Vly, CA 92708
Phone (714) 599-8222

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1528480753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18225 BROOKHURST ST STE 5",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086719",
            "telephone_number": "714-599-8222",
            "fax_number": "714-599-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18225 BROOKHURST ST STE 5",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086719",
            "telephone_number": "714-599-8222",
            "fax_number": "714-599-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IQBAL SURGICAL ASSOCIATES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "ATIF",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "714-599-8222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.