Organization Active NPI

Orange County Cosmetic and Reconstructive Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Huntington Beach, CA
National Provider Identifier
1982960381
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ORANGE COUNTY COSMETIC AND RECONSTRUCTIVE SURGERY CENTER
Practice address
19121 Brookhurst St Ste 201
Huntington Beach, CA 92646-2545
Phone
(714) 444-4011
NPI assigned
Apr 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Dr. Thuan Nguyen, MD
Title
Owner
Phone
(714) 444-4011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X CA Primary

Addresses

Primary practice location

19121 Brookhurst St Ste 201
Huntington Beach, CA 92646-2545

Mailing address

19121 Brookhurst St Ste 201
Huntington Beach, CA 92646-2545
Phone (714) 444-4011

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
05D2295665Orange County Cosmetic19121 Brookhurst St, Suite 101, Huntington Beach, CA 92646Certificate of waiverDec 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Occrsc Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11190 Warner Ave
#400B
Fountain Valley, CA 92708

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1982960381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19121 BROOKHURST ST STE 201",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462545",
            "telephone_number": "714-444-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19121 BROOKHURST ST STE 201",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462545",
            "telephone_number": "714-444-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY COSMETIC AND RECONSTRUCTIVE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-444-4011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.