Magnolia Surgery Center Limited Partnership

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MAGNOLIA SURGERY CENTER LIMITED PARTNERSHIP

Doing business as

Magnolia Surgery Center

Practice address

14571 Magnolia St
Suite 107
Westminster, CA 92683-5575

Phone

(714) 903-9039

Fax

(714) 903-9439

NPI assigned

Oct 24, 2005

Organization subpart

No

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

Authorized official

Name

Jenetha Moran

Title

Authorized Official

Phone

(972) 763-3893

Specialties & licenses 1

Addresses

Other names 1

• Magnolia Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Magnolia Surgery CenterCCN 05C0001505

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253

  Member Of

  NPD member
• VHS San Antonio Partners LLC

  dba Baptist Health System

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Quang Quoc Phan, M.D.

  • Gastroenterology Physician
  • Garden Grove, CA
  • NPI 1982698957
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1538159397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14571 MAGNOLIA ST",
            "address_2": "SUITE 107",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835575",
            "telephone_number": "714-903-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14571 MAGNOLIA ST",
            "address_2": "SUITE 107",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835575",
            "telephone_number": "714-903-9039",
            "fax_number": "714-903-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA SURGERY CENTER LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JENETHA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-763-3893"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Magnolia Acupuncture, Inc. (Urban Tree Acupuncture)
• Magnolia Adult Day Health Care, Inc. (ABC Westminster Adult Day Health Care)
• Magnolia Educational and Research Foundation
• Magnolia Eye Care Medical Center, Inc
• Magnolia Medical Imaging Center Inc a Medical Group
• Cali Rose Mahoney
• Anh-Thu Mai, DMD
• Chaulinh C. Mai, D.D.S
• Chinh Mai, MD
• The Quoc Mai, EDS, NCSP

• Ambulatory Surgical Clinic/Center in Westminster, CA
• Providers in Westminster, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.