Organization Active NPI

Basic Irvine ASC, Inc.

  • Ambulatory Surgical Clinic/Center
  • Irvine, CA
National Provider Identifier
1770925893
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BASIC IRVINE ASC, INC.
Practice address
18 Endeavor
103
Irvine, CA 92618-3164
Phone
(949) 556-4800
Fax
(949) 502-8591
NPI assigned
Jul 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Gowriharan ThaiyananthanNPI 1518164110
Title
Owner
Phone
(949) 556-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

18 Endeavor
103
Irvine, CA 92618-3164

Mailing address

18 Endeavor
103
Irvine, CA 92618-3164
Phone (949) 556-4800

National Provider Directory

National Provider Directory

Locations

18 Endeavor
Ste 103
Irvine, CA 92618
Phone (949) 556-4800

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": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1770925893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ENDEAVOR",
            "address_2": "103",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183164",
            "telephone_number": "949-556-4800",
            "fax_number": "949-502-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ENDEAVOR",
            "address_2": "103",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183164",
            "telephone_number": "949-556-4800",
            "fax_number": "949-502-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIC IRVINE ASC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "THAIYANANTHAN",
        "authorized_official_first_name": "GOWRIHARAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-556-4800"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.