Active NPI
North Orange County Surgery Center
- Ambulatory Surgical Clinic/Center
- Anaheim, CA
National Provider Identifier
1962695122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- PENDING
- Legal business name
- NORTH ORANGE COUNTY SURGERY CENTER
- Practice address
- 1741 W Romneya Dr
Suite F
Anaheim, CA 92801-1805 - Phone
- (714) 408-9481
- Fax
- (714) 284-0164
- NPI assigned
- Aug 21, 2007
- Last updated
- Sep 25, 2014
- 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
- Dr. Syam Gaddam, M.D.
- Title
- Medical Director
- Phone
- (714) 636-9100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | PENDING | Primary |
Addresses
Primary practice location
1741 W Romneya Dr
Suite F
Anaheim, CA 92801-1805
Mailing address
1741 W Romneya Dr
Suite F
Anaheim, CA 92801-1805
Phone (714) 408-9481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080605000917 | CA | Part B Supplier - Ambulatory Surgical Center | 1456421189 | Practice locations: Anaheim, CA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- North Orange County Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1073814 | North Orange County Surgery Center | Certificate of waiver | Sep 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
1741 W Romneya Dr
Ste F
Anaheim, CA 92801
Phone (714) 408-9481
Practitioners & affiliated clinicians
Practitioners 1
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
- Anaheim, CA
- NPI 1851374631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411603200000",
"number": "1962695122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1741 W ROMNEYA DR",
"address_2": "SUITE F",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011805",
"telephone_number": "714-408-9481",
"fax_number": "714-284-0164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1741 W ROMNEYA DR",
"address_2": "SUITE F",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011805",
"telephone_number": "714-408-9481",
"fax_number": "714-284-0164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH ORANGE COUNTY SURGERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-21",
"last_updated": "2014-09-25",
"status": "A",
"authorized_official_last_name": "GADDAM",
"authorized_official_first_name": "SYAM",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "17146369100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
- Lourdes Elizabeth Norris, MS, BCBA
- Nicole Marie Norris
- North Anaheim Surgicenter LTD (North Anaheim Surgicenter)
- North Orange County Counseling, Inc
- North Orange County Regional Health Foundation
- Amelia Northcliff
- Novo Behavioral Services (Novo Pediatric Therapies)
- Maria Novoa
- Debra H Novotny, PT
- Hilda F Nowak, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.