Organization Active NPI

Orange County Reconstructive and Aesthetic Surgery

  • Plastic Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1528822210
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
ORANGE COUNTY RECONSTRUCTIVE AND AESTHETIC SURGERY
Practice address
1617 Westcliff Dr Ste 207
Newport Beach, CA 92660-5526
Phone
(949) 400-7012
NPI assigned
Feb 12, 2024
Last updated
Aug 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Authorized official

Name
Khang T Nguyen, MDNPI 1518385004
Title
President
Phone
(714) 321-0779

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
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

1617 Westcliff Dr Ste 207
Newport Beach, CA 92660-5526

Mailing address

1617 Westcliff Dr Ste 207
Newport Beach, CA 92660-5526
Phone (949) 720-3888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250312003955 CA Part B Supplier - Clinic/Group Practice 0244751790 Receives reassigned benefits from 1 practitioner
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

3991 MacArthur Blvd
Ste 320
Newport Beach, CA 92660
Phone (949) 720-3888

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1528822210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 WESTCLIFF DR STE 207",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605526",
            "telephone_number": "949-720-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 WESTCLIFF DR STE 207",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605526",
            "telephone_number": "949-400-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY RECONSTRUCTIVE AND AESTHETIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KHANG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-321-0779",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.