Organization Active NPI

Irvine Specialty Care Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Irvine, CA
National Provider Identifier
1821572033
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
IRVINE SPECIALTY CARE SURGERY CENTER
Practice address
4968 Booth Cir Ste 105
Irvine, CA 92604-3366
Phone
(951) 734-7246
Fax
(951) 674-7244
NPI assigned
Sep 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Authorized official

Name
Dr. Khuram Sial, M.D
Title
President
Phone
(949) 416-1070

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

4968 Booth Cir Ste 105
Irvine, CA 92604-3366

Mailing address

31569 Canyon Estates Dr Ste 135
Lake Elsinore, CA 92532-0472
Phone (951) 734-7246

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1821572033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31569 CANYON ESTATES DR STE 135",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925320472",
            "telephone_number": "951-734-7246",
            "fax_number": "951-674-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4968 BOOTH CIR STE 105",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043366",
            "telephone_number": "951-734-7246",
            "fax_number": "951-674-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINE SPECIALTY CARE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "SIAL",
        "authorized_official_first_name": "KHURAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-416-1070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Sep 24, 2018; 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.