Orange ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ORANGE ASC, LLC

Practice address

1403 N Tustin Ave Ste 100
Santa Ana, CA 92705-8691

Phone

(626) 269-5311

Fax

(626) 574-7188

NPI assigned

Dec 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Tom S Chang, M.D.NPI 1609848969

Title

Ceo

Phone

(626) 676-0838

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Orange ASC LLCCCN 05C0002118

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Tom S Chang, MD

  • Retina Specialist (Ophthalmology) Physician
  • Pasadena, CA
  • NPI 1609848969
  NPD Authorized official
• Brian Hong Chen, M.D.

  • Ophthalmology Physician
  • San Gabriel, CA
  • NPI 1952631632
  NPD
• Michael J Davis, MD

  • Retina Specialist (Ophthalmology) Physician
  • Pomona, CA
  • NPI 1437320785
  NPD
• Michael A Samuel, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Palm Desert, CA
  • NPI 1730175670
  NPD

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1780059014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CALIFORNIA BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053205",
            "telephone_number": "626-269-5311",
            "fax_number": "626-574-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 N TUSTIN AVE STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058691",
            "telephone_number": "626-269-5311",
            "fax_number": "626-574-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-676-0838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optimal Health Services
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• Optum Palliative and Hospice Care, Inc.
• Opus Health, LLC
• Opus Vitae Treatment LLC
• Orange Coast Ortho Care
• Orange Coast Orthopedic & Sports Medicine Group
• Orange County Association for Mental Health
• Orange County Bar Foundation
• Orange County Burn Surgeons PC

• Ambulatory Surgical Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, 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 Oct 12, 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.

Verify at the official NPI Registry.