NPIMap

Organization Active NPI

Fountain Valley Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Fountain Valley, CA
National Provider Identifier
1679985857
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
FOUNTAIN VALLEY SURGERY CENTER, LLC
Practice address
11190 Warner Ave
Suite 212
Fountain Valley, CA 92708-4019
Phone
(714) 338-1650
Fax
(714) 751-2348
NPI assigned
May 22, 2014
Last updated
Jul 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Mr. Walter Topp
Title
Administrator
Phone
(714) 427-0880

Specialties & licenses 1

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

Addresses

Primary practice location

11190 Warner Ave
Suite 212
Fountain Valley, CA 92708-4019

Mailing address

11190 Warner Ave.
Suite 212
Fountain Valley, CA 92708
Phone (714) 338-1650

National Provider Directory

National Provider Directory

Member of 2

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

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1679985857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE.",
            "address_2": "SUITE 212",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-338-1650",
            "fax_number": "714-751-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE",
            "address_2": "SUITE 212",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084019",
            "telephone_number": "714-338-1650",
            "fax_number": "714-751-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN VALLEY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "TOPP",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-427-0880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 11, 2019; 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.