CHAMPION SURGERY CENTER, LLC (NPI# 1225401672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225401672 |
| Entity Type | Organization |
| Organization Name | CHAMPION SURGERY CENTER, LLC |
| Practice Address |
4463 Birch St Ste 150 Newport Beach CA 92660-1911 |
| Mailing Address |
11244 Snowdrop Ave Fountain Valley CA 92708 |
| Practice Telephone | 5628423595 |
| Mailing Telephone | 7145665240 |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2017-07-31 |
| Authorized Official Name | MR. HUU PHAM (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5628423595 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
4463 BIRCH ST STE 150 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962692533 | Birch Medical Group | Plastic Surgery | 4463 Birch St, Newport Beach, CA 92660-1911 | 2007-07-30 |
| 1558881821 | Alotus Medical Center, PC. | Family Medicine | 4463 Birch St, Suite 105, Newport Beach, CA 92660 | 2017-06-27 |
| 1053626689 | Oc Beautiful Surgery Center | Clinic/Center | 4463 Birch St, Suite 150, Newport Beach, CA 92660-1911 | 2010-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881202281 | Pacific Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 20101 Sw Birch St Ste 150m, Newport Beach, CA 92660-1760 | 2020-07-21 |
| 1154955698 | Equinox Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 2424 Se Bristol St Ste 250, Newport Beach, CA 92660-0761 | 2020-02-24 |
| 1235778838 | Easy Living Inc. | Durable Medical Equipment & Medical Supplies | 2043 Westcliff Dr Ste 207, Newport Beach, CA 92660-5510 | 2019-12-30 |
| 1467097832 | Ludwig Medical Corp | Durable Medical Equipment & Medical Supplies | 1617 Westcliff Dr Ste 203, Newport Beach, CA 92660-5526 | 2019-11-09 |
| 1023571023 | Good Life Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 20101 Sw Birch St Ste 270, Newport Beach, CA 92660-1770 | 2019-04-08 |
| 1033682141 | A & D Medical Supply | Durable Medical Equipment & Medical Supplies | 3848 Campus Dr Ste 117, Newport Beach, CA 92660-2694 | 2019-01-10 |
| 1750766531 | Medmanagement LLC | Durable Medical Equipment & Medical Supplies | 3404 Via Lido Ste B, Newport Beach, CA 92663-3991 | 2015-07-22 |
| 1225346471 | Unlimited Visions | Durable Medical Equipment & Medical Supplies | 112 Kings Pl, Newport Beach, CA 92663-5703 | 2010-09-22 |
| 1568611051 | Mobility Excellence, Inc. | Durable Medical Equipment & Medical Supplies | 3700 Newport Blvd, Suite 200, Newport Beach, CA 92663-3900 | 2008-09-09 |
| 1619087384 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1610 San Miguel Drive, Newport Beach, CA 92660-7124 | 2006-08-30 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
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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.