Organization Active NPI

South Orange County Outpatient Surgical Center Inc

  • Ambulatory Surgical Clinic/Center
  • San Clemente, CA
National Provider Identifier
1578593281
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SOUTH ORANGE COUNTY OUTPATIENT SURGICAL CENTER INC
Practice address
665 Camino de Los Mares
Suite 103
San Clemente, CA 92673-2859
Phone
(949) 951-2020
Fax
(949) 900-5321
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Roger V. Ohanesian, M.D.
Title
Partner
Phone
(949) 951-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X CA Primary

Addresses

Primary practice location

665 Camino de Los Mares
Suite 103
San Clemente, CA 92673-2859

Mailing address

24401 Calle de la Louisa
Suite 300
Laguna Hills, CA 92653-3623
Phone (949) 951-2020

Other names 1

  • South Orange County Outpatient Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

665 Camino de los Mares
Ste 103
San Clemente, CA 92673
Phone (949) 433-2516

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1578593281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24401 CALLE DE LA LOUISA",
            "address_2": "SUITE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533623",
            "telephone_number": "949-951-2020",
            "fax_number": "949-900-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 CAMINO DE LOS MARES",
            "address_2": "SUITE 103",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732859",
            "telephone_number": "949-951-2020",
            "fax_number": "949-900-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ORANGE COUNTY OUTPATIENT SURGICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "OHANESIAN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "949-951-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Orange County Outpatient Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.