Organization Active NPI

United Surgery Center-Orange LLC

Doing business as United Surgery Center-Orange

  • Ambulatory Surgical Clinic/Center
  • Orange, CA
National Provider Identifier
1861907107
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
UNITED SURGERY CENTER-ORANGE LLC
Doing business as
United Surgery Center-Orange
Practice address
1140 W la Veta Ave Ste 550
Orange, CA 92868-4214
Phone
(714) 835-3636
Fax
(714) 835-0315
NPI assigned
Dec 8, 2017
Last updated
Dec 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Authorized official

Name
Kenneth Jones
Title
Director of Business Operations
Phone
(951) 764-9396

Specialties & licenses 1

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

Addresses

Primary practice location

1140 W la Veta Ave Ste 550
Orange, CA 92868-4214

Mailing address

25150 Hancock Ave Ste 208
Murrieta, CA 92562-5989
Phone (951) 764-9396

Other names 1

  • UNITED SURGERY CENTER-ORANGE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091119000682 CA Part B Supplier - Ambulatory Surgical Center 3072652684 Practice locations: Orange, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
United Surgery Center Orange LLCCCN 05C0001272
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1140 W La Veta Ave
Ste 550
Orange, CA 92868
Phone (714) 835-3636

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1861907107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25150 HANCOCK AVE STE 208",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625989",
            "telephone_number": "951-764-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 550",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684214",
            "telephone_number": "714-835-3636",
            "fax_number": "714-835-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SURGERY CENTER-ORANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "951-764-9396"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITED SURGERY CENTER-ORANGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.