SUPERIOR SURGERY CENTER NPI 1073155578

NPI Information

  • NPI: 1073155578
  • Provider Name: SUPERIOR SURGERY CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D2291625
  • Address: 1501 SUPERIOR AVE STE 301
    NEWPORT BEACH, CA
    ZIP 92663
  • Phone: (949) 642-7600

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NPI Details

SUPERIOR SURGERY CENTER is an ambulatory surgical clinic center in Newport Beach, CA. SUPERIOR SURGERY CENTER NPI is 1073155578. The provider is registered as an organization entity type.

The provider's business location address is:

1501 SUPERIOR AVE STE 301
NEWPORT BEACH, CA
ZIP 92663-641
Phone: (949) 642-7600

The provider's authorized official is Melissa Marie Smith .
The authorized official title is Ceo/principal and has the following contact phone number (646) 642-7600.

The CLIA number assigned to this NPI record is 05D2291625 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2019 and was last updated on 10/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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