Newport Coast Surgical Center, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

NEWPORT COAST SURGICAL CENTER, LLC

Practice address

4501 Birch St Ste a
Newport Beach, CA 92660-1928

Phone

(661) 472-4177

NPI assigned

Jul 19, 2018

Last updated

Aug 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elena Serda

Title

Owner

Phone

(661) 472-4177

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1881170108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 N SEPULVEDA BLVD # 223",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662725",
            "telephone_number": "661-472-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 BIRCH ST STE A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601928",
            "telephone_number": "661-472-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT COAST SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "SERDA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-472-4177"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newport Coast Plastic Surgery, a Medical Corporation
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• Newport Coast Recovery
• Newport Coast Surgery Center, LP
• Newport Coast Surgical and Pain Center, LLC
• Newport Coast Vein Care, Inc.
• Newport Cosmetic Dental Associates
• Newport Counseling Center, Inc.
• Newport Critical Care Physicians Medical Group Inc
• Newport Dental Center Group

• Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.