Active NPI
Orange County Cosmetic and Reconstructive Surgery Center
- Ambulatory Surgical Clinic/Center
- Huntington Beach, CA
National Provider Identifier
1982960381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 05D2295665 | Orange County Cosmetic | Certificate of waiver | Dec 13, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Occrsc Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Huntington Beach, CA
- NPI 1356744825
-
- Specialist
- Huntington Beach, CA
- NPI 1619318730
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.