Active NPI
United Surgery Center-Orange LLC
Doing business as United Surgery Center-Orange
- Ambulatory Surgical Clinic/Center
- Orange, CA
National Provider Identifier
1861907107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
-
- Gastroenterology Physician
- Orange, CA
- NPI 1962657023
-
- Gastroenterology Physician
- Orange, CA
- NPI 1821101163
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.