Mariners Surgicenter

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

G34385 Issued in CA

Legal business name

MARINERS SURGICENTER

Practice address

355 Placentia Ave Ste 99
355 Placentia Ave. #104
Newport Beach, CA 92663-3301

Phone

(949) 650-2345

Fax

(949) 650-6817

NPI assigned

May 25, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David Benvenuti, M.D.NPI 1174639405

Title

Owner

Phone

(949) 650-2345

Specialties & licenses 1

Addresses

Other names 1

• David Benvenuti M.D. Former legal business name

Practitioners 2

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

• David Benvenuti, MD

  • Plastic and Reconstructive Surgery Physician
  • Newport Beach, CA
  • NPI 1174639405
  NPD (past) Authorized official
• Hunter David Benvenuti

  • Surgery Physician
  • Fresno, CA
  • NPI 1255750147
  NPD (past)

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1689934457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 PLACENTIA AVE STE 99",
            "address_2": "355 PLACENTIA AVE. #104",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633301",
            "telephone_number": "949-650-2345",
            "fax_number": "949-650-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 PLACENTIA AVE STE 99",
            "address_2": "355 PLACENTIA AVE. #104",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633301",
            "telephone_number": "949-650-2345",
            "fax_number": "949-650-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINERS SURGICENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "BENVENUTI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-650-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "G34385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Benvenuti M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Margaret M. Yago, M.D., Inc., a Professional Corporation
• Victoria Kay Maricich, LCSW
• Kathryn Marienthal, L.AC.
• Dahlia Marcell Marin, RD
• Mariners Pediatrics Medical Group, Inc.
• Catalin Gabriel Marinescu, M.D.
• Heather Ann Marino, D.O.
• Mallory Marino, NP
• Tiffany Marino
• Mark a. Newman, M.D., Inc.

• Ambulatory Surgical Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, 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 May 25, 2012; 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.