OC MULTISPECIALTY SURGERY CENTER LP (NPI# 1023250438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023250438 |
Entity Type | Organization |
Organization Name | OC MULTISPECIALTY SURGERY CENTER LP |
Practice Address |
14642 Newport Ave Suite 100 Tustin CA 92780 |
Mailing Address |
4333 Admiralty Way West Helix 9 Marina Del Rey CA 90292-5469 |
Practice Telephone | 7145055005 |
Practice Fax Number | 7145055009 |
Mailing Telephone | 3108272549 |
Mailing Fax Number | 4242709451 |
Enumeration Date | 2009-03-31 |
Last Update Date | 2015-02-24 |
Authorized Official Name | DR. ISAAC VERBUKH (OWNER) |
Authorized Official Telephone | 3108272549 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
CA | Ambulatory Health Care Facilities |
Street Address |
14642 NEWPORT AVE SUITE 100 |
City | TUSTIN |
State | CA |
Zip Code | 92780 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174594386 | Los Angeles Radiation Oncology Medical Associates | Radiology | 14642 Newport Ave, #470, Tustin, CA 92780-6057 | 2006-01-27 |
1619443835 | Fareed Entezar | Pharmacist | 14642 Newport Ave, Tustin, CA 92780-6057 | 2018-10-15 |
1629500665 | Integrity Healthcare Providers, PC | Family Medicine | 14642 Newport Ave, Suite 270, Tustin, CA 92780-6057 | 2017-03-29 |
1033662101 | Tariq Ali Khan Md | Internal Medicine | 14642 Newport Ave, Suite 408, Tustin, CA 92780-6057 | 2016-07-25 |
1558740753 | Medical Exam Assoicates | Chiropractor | 14642 Newport Ave, #407, Tustin, CA 92780-6057 | 2015-05-21 |
1205229382 | Trilogy Eye Medical Group, Inc. | Optometrist | 14642 Newport Ave, Suite 210, Tustin, CA 92780-6057 | 2015-03-12 |
1003174368 | Charles Minh | Anesthesiology | 14642 Newport Ave, Suite #100, Tustin, CA 92780-6057 | 2012-04-24 |
1851684237 | Sharron Krueger | Nurse Practitioner | 14642 Newport Ave, Suite 200, Tustin, CA 92780-6057 | 2011-05-18 |
1588981120 | Smith-burke Podiatry | Podiatrist | 14642 Newport Ave, Suite 105, Tustin, CA 92780-6057 | 2010-04-21 |
1427281666 | Stephen William Doggett, M.d. Pa | Radiology | 14642 Newport Ave, Tustin, CA 92780-6057 | 2009-09-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
Find all providers in zip 92780 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629294251 | Newport Avenue Surgery Institute | Clinic/Center | 13132 Newport Ave Ste 200, Tustin, CA 92780-3429 | 2007-04-18 |
1699077842 | Allied Surgery Center | Clinic/Center | 13132 Newport Ave, Suite 210, Tustin, CA 92780 | 2010-11-20 |
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1790384303 | Abroms Dougherty Vision Asc LLC | Clinic/Center | 4472 Broad St Ste 150, San Luis Obispo, CA 93401-7933 | 2020-10-23 |
1861091993 | Willow Vista Surgical Center | Clinic/Center | 39810 Portola Ave, Palm Desert, CA 92260-0624 | 2020-10-20 |
1366041469 | The Regents of The University of California | Clinic/Center | 4343 Lankershim Blvd Ste 210, North Hollywood, CA 91602-2705 | 2020-10-20 |
1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
1538775267 | Ev Surgery Institute LLC | Clinic/Center | 105 N Bascom Ave Ste 105, San Jose, CA 95128-1811 | 2020-09-18 |
1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
1811501661 | Precision Surgical Arts | Clinic/Center | 20311 Sw Birch St Ste 201, Newport Beach, CA 92660-1777 | 2020-08-31 |
1205448750 | Elite Surgery Center of South Bay LLC | Clinic/Center | 20528 Hawthorne Blvd Ste 301, Torrance, CA 90503-3202 | 2020-08-17 |
1740891571 | Peninsula Surgery Center, LLC | Clinic/Center | 350 Marine Pkwy Ste 100, Redwood City, CA 94065-5224 | 2020-08-14 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.