NORTHWEST SURGICAL DEVELOPMENT OF IRVINE (NPI# 1629482609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629482609 |
| Entity Type | Organization |
| Organization Name | NORTHWEST SURGICAL DEVELOPMENT OF IRVINE |
| Other Organization Name | ATHENIX |
| Practice Address |
113 Waterworks Way Ste 300 Irvine CA 92618-3174 |
| Mailing Address |
65 Enterprise Ste 125 Aliso Viejo CA 92656-2706 |
| Practice Telephone | 9494500596 |
| Practice Fax Number | 9494500804 |
| Mailing Telephone | 9496009931 |
| Mailing Fax Number | 9496008029 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2015-02-10 |
| Authorized Official Name | MR. JAMES HAEFNER (CEO) |
| Authorized Official Telephone | 9496009931 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
10305 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Athenix | Doing Business As Name - Organization |
| Street Address |
113 WATERWORKS WAY STE 300 |
| City | IRVINE |
| State | CA |
| Zip Code | 92618-3174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649684630 | Athenix Physicians Group, Inc. | Plastic Surgery | 113 Waterworks Way Ste 300, Irvine, CA 92618-3174 | 2014-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982306 | Zermina Akbary | Registered Nurse | 131 Theme, Irvine, Irvine, CA 92618 | 2020-05-04 |
| 1760028575 | Leibow Psychology Group, PC | Counselor | 7725 Gateway #4203, Irvine, CA 92618 | 2019-11-27 |
| 1790263713 | Jw Professional Dental Corporation | Dentist | 14785 Jeffrey Rd. Ste 200, Irvine, CA 92618 | 2018-08-01 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1952899221 | Oneness Health Group Inc | Chiropractor | 25 Deergrass, Irvine, CA 92618 | 2018-04-23 |
| 1144738899 | Morvarid Emamy | Dentist | 23448 Spectrum, Irvine, CA 92618 | 2018-01-16 |
| 1083123194 | Ning Wang | Behavioral Analyst | 9844 Research Dr Ste 100, Irvine, CA 92618 | 2017-09-21 |
| 1043679715 | Dent All By Dr. Z | Dentist | 15362 Alton Parkway, Irvine, CA 92618 | 2016-02-23 |
| 1265897862 | Whitney Elyse Davies | Physical Therapist | 26650 Alton Parkway, Irvine, CA 92618 | 2015-12-23 |
| 1245619295 | Nora Witt | Registered Nurse | 16205 Sand Canyon Avenue, Suite 100, Irvine, CA 92618 | 2015-05-22 |
| Find all providers in zip 92618 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
| 1033734728 | Orange County Surgical Center | Clinic/Center | 1400 Reynolds Ave Ste 175, Irvine, CA 92614-5538 | 2020-06-09 |
| 1114483492 | Orange County Digestive Center, Inc | Clinic/Center | 1400 Reynolds Ave Ste 125, Irvine, CA 92614-5563 | 2019-02-12 |
| 1184981326 | Reproductive Specialty Surgical Center, Inc | Clinic/Center | 15500 Sand Canyon Ave, Suite 100, Irvine, CA 92618-7709 | 2012-04-12 |
| 1306080452 | Surgery Center of Irvine Lp | Clinic/Center | 10 Post, Suite B, Irvine, CA 92618-5223 | 2009-04-20 |
| 1073794855 | Surgicare of La Veta Ltd | Clinic/Center | 3500 Barranca Pkwy Suite 130, Irvine, CA 92606-8227 | 2007-11-20 |
| 1396814596 | Starpoint Health, Inc. | Clinic/Center | 19000 Macarthur Blvd, Irvine, CA 92612-1438 | 2006-11-06 |
| 1427092279 | Ipm Surgery Centers LLC | Clinic/Center | 35 Creek Rd, Irvine, CA 92604-4724 | 2006-06-15 |
| 1831730209 | Post Surgery Center, LLC | Clinic/Center | 10 Post, Irvine, CA 92618-5223 | 2019-10-07 |
| 1487212197 | Irvine Asc LLC | Clinic/Center | 18 Endeavor Ste 102, Irvine, CA 92618-3180 | 2019-05-29 |
| Find all providers in IRVINE | ||||
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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.