Hoag Outpatient Centers, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HOAG OUTPATIENT CENTERS, LLC

Doing business as

Hoag Endoscopy Center

Practice address

500 Superior Ave
Suite 120
Newport Beach, CA 92663-3657

Phone

(949) 764-7580

Fax

(949) 764-7585

NPI assigned

Nov 9, 2011

Organization subpart

Yes

Parent organization

HOAG MEMORIAL HOSPITAL PRESBYTERIANAs reported in NPPES

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

Authorized official

Name

Mr. Robert T Braithwaite

Title

Administrator

Phone

(949) 517-3141

Specialties & licenses 1

Addresses

Other names 1

• Hoag Endoscopy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Hoag Outpatient Centers, LLC

  • Ambulatory Surgical Clinic/Center
  • Newport Beach, CA
  • NPI 1043023658

  1557525615

  Same PAC ID

Listed as

Hoag Endoscopy CenterCCN 05C0002003

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Hoag Outpatient Centers LLC2 organizations share this tax ID, including this one

Part of

Hoad Memorial Hospital

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hoag Outpatient Centers, LLC

  • Ambulatory Surgical Clinic/Center
  • Newport Beach, CA
  • NPI 1043023658
  NPD tax ID

Member of 1

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

• Hoag Memorial Hospital Presbyterian

  • Rehabilitation Hospital Unit
  • Newport Beach, CA
  • NPI 1750875670

  Member Of

  NPD member

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Irvine Endoscopy Partners LLC

  • Ambulatory Surgical Clinic/Center
  • Irvine, CA
  • NPI 1447608088

  Member Of

  NPD member
• Newport Beach Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Newport Beach, CA
  • NPI 1558328096

  Member Of

  NPD member

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1730466483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOAG DR",
            "address_2": "PO BOX 6100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634162",
            "telephone_number": "949-764-4624",
            "fax_number": "949-764-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUPERIOR AVE",
            "address_2": "SUITE 120",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633657",
            "telephone_number": "949-764-7580",
            "fax_number": "949-764-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOAG OUTPATIENT CENTERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOAG MEMORIAL HOSPITAL PRESBYTERIAN",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "BRAITHWAITE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-517-3141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoag Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hoag Memorial Hospital Presbyterian
• Hoag Neurobehavioral Health LLC
• Hoag Neurobehavioral Health LLC
• Hoag Neurobehavioral Health LLC
• Hoag Outpatient Centers, LLC
• Hoag Presbyterian Hospital
• Kim Duyen Thi Hoang, PHARM-D
• Romney Hoang
• Michelle Hobson
• Stephen Alden Hockenbury, MD

• 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 Nov 9, 2011; 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.