Newport Beach Lido Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NEWPORT BEACH LIDO SURGERY CENTER, LLC

Practice address

351 Hospital Rd
Suite 110
Newport Beach, CA 92663-3509

Phone

(949) 642-3263

Fax

(949) 642-2034

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Martin Kleinbart, DPM

Title

Member, Governing Board

Phone

(949) 764-8128

Specialties & licenses 1

Addresses

Other names 1

• Hoag Outpatient Surgery Center Doing business as

Member of 1

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

• Hoag Memorial Hospital Presbyterian

  • Rehabilitation Hospital Unit
  • Newport Beach, CA
  • NPI 1750875670

  Member Of

  NPD member

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992840722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL RD",
            "address_2": "SUITE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633509",
            "telephone_number": "949-642-3263",
            "fax_number": "949-642-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL RD",
            "address_2": "SUITE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633509",
            "telephone_number": "949-642-3263",
            "fax_number": "949-642-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT BEACH LIDO SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLEINBART",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "MEMBER, GOVERNING BOARD",
        "authorized_official_telephone_number": "949-764-8128",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoag Outpatient Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Newport Beach Gastroenterology Assoc
• Newport Beach Hearing Aid Associates
• Newport Beach Internal Medicine Inc.
• Newport Beach Ivf, LLC
• Newport Beach Laser and Plastic Surgery Centre
• Newport Beach Medical Associates
• Newport Beach Neurosurgical Institute
• Newport Beach OB/GYN Medical Group Inc.
• Newport Beach Pediatric Pulmonology, Inc.
• Newport Beach Radiosurgery Center, LLC

• Ambulatory Surgical Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.