NPIMap

Organization Active NPI

Hoag Orthopedic Institute LLC

  • Special Hospital
  • Irvine, CA
National Provider Identifier
1982927877
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
HOAG ORTHOPEDIC INSTITUTE LLC
Practice address
16250 Sand Canyon Avenue
Irvine, CA 92618-3714
Phone
(949) 764-1884
NPI assigned
Mar 5, 2010
Last updated
May 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Kim Mikes
Title
Senior Vice President & Ceo
Phone
(949) 517-3149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X CA Primary

Addresses

Primary practice location

16250 Sand Canyon Avenue
Irvine, CA 92618-3714

Mailing address

16250 Sand Canyon Ave
Irvine, CA 92618-3714
Phone (949) 517-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100802000240 CA Part A Provider - Hospital 4284787367 Practice locations: Irvine, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982927877. Details of each certification follow.

Hospital certification: CCN 050769

Legal name
HOAG ORTHOPEDIC INSTITUTE, LLC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 19, 2010
Last certification
Oct 18, 2018
Beds
70
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
16250 Sand Canyon Ave
Irvine, CA 92618-3714
Other Hospital Practice Location
Hospital subgroups
Acute care, Specialty hospital

Care Compare: Hospital

Medicare Care Compare
Listed as
Hoag Orthopedic InstituteCCN 050769 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2009174Hoag Orthopedic Institute LLC16250 Sand Canyon Ave, Irvine, CA 92618Certificate of waiverJun 27, 2028

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

16200 Ventura Blvd
Ste 310
Encino, CA 91436

8700 Warner Ave
Ste 140
Fountain Vly, CA 92708
Phone (714) 847-6727

16300 Sand Canyon Ave
Ste 511
Irvine, CA 92618
Phone (949) 255-9890

1501 Westcliff Dr
Ste 325
Newport Beach, CA 92660
Phone (949) 546-7500

22 Corporate Plaza Dr
Ste 150
Newport Beach, CA 92660
Phone (949) 515-0708

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tze C Ip Individual Corporate DirectorMember Board of Managers Jan 1, 2023
Other Sep 1, 2010 2.21%
Shaunak Subhash Desai Individual Other Jan 1, 2013 1.34%
Gary McKitterick Individual Corporate DirectorMember Board of Managers Mar 18, 2011
Brian Helleland Individual Corporate DirectorMember Board of Managers Jan 9, 2023
Robert C Grumet Individual Other Oct 1, 2015 0.65%
Michael P Weinstein Individual Other Sep 1, 2010 1.91%
Nader Amir Nassif Individual Corporate DirectorMember Board of Managers Jan 1, 2021
Other Apr 1, 2017 0.65%
Steven Lawrence Barnett Individual Contracted Managing EmployeeChief Medical Officer Jan 1, 2021
Corporate DirectorMember Board of Managers Sep 1, 2018
Operational/Managerial ControlMember Board of Managers Sep 1, 2018
Other Sep 1, 2018 2.04%
Hoag Memorial Hospital Presbyterian Organization, Newport Beach, CA Non-profit 5% Or Greater Direct Ownership Interest Nov 25, 2008 51%
Paul Heeschen Individual Corporate DirectorMember Board of Managers Jan 1, 2019
Jay J Patel Individual Contracted Managing EmployeeChief Strategic Officer Jan 1, 2021
Corporate DirectorMember Board of Managers Jan 1, 2021
Other Apr 1, 2017 0.65%
Jeffrey E Deckey Individual Corporate DirectorMember Board of Managers Jan 1, 2021
Other Sep 1, 2010 1.04%
Kim Mikes Individual Corporate OfficerChief Executive Officer Sep 23, 2021
Nicholas E Rose Individual Other Sep 1, 2010 1.94%
Russell Sean Petrie Individual Corporate Director Jan 6, 2025
Other Sep 1, 2010 2.21%
Robert Braithwaite Individual Corporate DirectorMember Board of Managers Nov 1, 2010
Robert S Gorab Individual Corporate DirectorMember Board of Managers Nov 1, 2010
Operational/Managerial ControlMember Board of Managers Nov 19, 2010
OtherMember Board of Managers Nov 19, 2010 2.04%
Ortho California Ancillary Holding LLC Organization, Orange, CA Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2018 44%
Providence St. Joseph Health Organization, Renton, WA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2018 5%

Owners & managing parties with NPI records 11

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 38

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 38

Practitioners & affiliated clinicians

Practitioners 55

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.

View all 55

Affiliated clinicians 242

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 242

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1982927877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16250 SAND CANYON AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183714",
            "telephone_number": "949-517-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 SAND CANYON AVENUE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183714",
            "telephone_number": "949-764-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOAG ORTHOPEDIC INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "MIKES",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT & CEO",
        "authorized_official_telephone_number": "949-517-3149"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.