Garden Grove Surgical Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GARDEN GROVE SURGICAL CENTER INC

Practice address

12894 Harbor Blvd
Garden Grove, CA 92840-5807

Phone

(714) 537-4400

Fax

(714) 537-0400

NPI assigned

Nov 4, 2009

Organization subpart

No

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

Authorized official

Name

Conrad Anthony Cox, M.D.

Title

Medical Director

Phone

(714) 537-4400

Specialties & licenses 1

Addresses

Listed as

Garden Grove Surgery CenterCCN 05C0001722

Medicare certification status

Terminated Voluntary: merger or closure, Mar 27, 2025From the Provider of Services file

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose L. Pantoja, M.D.

  • Specialist
  • Lakewood, CA
  • NPI 1891721353
  NPD

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1982931465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12894 HARBOR BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405807",
            "telephone_number": "714-537-4400",
            "fax_number": "714-537-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12894 HARBOR BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405807",
            "telephone_number": "714-537-4400",
            "fax_number": "714-537-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN GROVE SURGICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-537-4400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garden Grove Outpatient Surgery Center
• Garden Grove Physical Therapy Inc
• Garden Grove Podiatry
• Garden Grove Post Acute LLC (The Grove Post Acute)
• Garden Grove Primary Care Medicine, Inc.
• Garden Grove Unified School District
• Garden Grove Unified School District
• Garden Grove Usd
• Garden Grove Women's Health Specialists, Inc.
• Garden Park Care Center LLC (Garden Park Care Center)

• Ambulatory Surgical Clinic/Center in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.