California Surgical Cooperative LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CALIFORNIA SURGICAL COOPERATIVE LLC

Practice address

1441 Avocado Ave Ste 100
Newport Beach, CA 92660-7702

Phone

(714) 658-4215

NPI assigned

Jul 27, 2021

Organization subpart

No

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

Authorized official

Name

Matthew Shea

Title

Administrator

Phone

(714) 658-4215

Specialties & licenses 1

Addresses

Other names 1

• Fashion Island Surgery Center - Newport Beach Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1780357616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607702",
            "telephone_number": "949-209-5960",
            "fax_number": "949-209-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607702",
            "telephone_number": "714-658-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA SURGICAL COOPERATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-658-4215"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fashion Island Surgery Center - Newport Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• California Pharmacy & Compounding Center Inc
• California Pharmacy & Compounding Center Inc
• California Rehabilitation, Inc
• California Speech & Swallow
• California Surgery Specialists, Inc.
• California Therapy Solutions
• Steven Robert Callahan, M.D.
• Calmsphere, a Nursing Corporation
• Janet Calva, LEP
• Isabella Cajucom Camacho, CF-SLP

• 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 Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.