Active NPI
Prime Surgical Center of Newport Beach, LLC
- Ambulatory Surgical Clinic/Center
- Newport Beach, CA
National Provider Identifier
1639610348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PRIME SURGICAL CENTER OF NEWPORT BEACH, LLC
- Practice address
- 351 Hospital Rd Ste 110
Newport Beach, CA 92663-3503 - Phone
- (949) 335-4966
- NPI assigned
- Mar 14, 2017
- Organization subpart
- Yes
- Parent organization
- PRIME SURGICAL AFFILIATES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Caroline Singer
- Title
- Chief Executive Officer
- Phone
- (818) 937-9969
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
351 Hospital Rd Ste 110
Newport Beach, CA 92663-3503
Mailing address
550 N Brand Blvd Ste 900
Glendale, CA 91203-4721
Phone (818) 937-9969
Other practice location 1
130 N Brand Blvd
Suite 303
Glendale, CA 91203-2644
Phone (818) 937-9969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220701002396 | CA | Part B Supplier - Ambulatory Surgical Center | 6305226754 | Practice locations: Newport Beach, CA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Prime Surgical Center of Newport Beach LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Newport Beach, CA
- NPI 1750304671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658188800000",
"number": "1639610348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 N BRAND BLVD STE 900",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912034721",
"telephone_number": "818-937-9969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 HOSPITAL RD STE 110",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633503",
"telephone_number": "949-335-4966"
}
],
"practiceLocations": [
{
"address_1": "130 N Brand Blvd",
"address_2": "Suite 303",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912032644",
"country_code": "US",
"telephone_number": "818-937-9969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PRIME SURGICAL CENTER OF NEWPORT BEACH, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRIME SURGICAL AFFILIATES",
"enumeration_date": "2017-03-14",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A",
"authorized_official_last_name": "SINGER",
"authorized_official_first_name": "CAROLINE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "818-937-9969"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"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 Jul 19, 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.