SURGICAL OASIS INSTITUTE NPI 1205490448

NPI Information

NPI: 1205490448
Provider Name: SURGICAL OASIS INSTITUTE
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
Doing Business As: SURGICAL OASIS INSTITUTE
CLIA Number: 05D2163039
Address: 496 OLD NEWPORT BLVD STE 2
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 646-8444

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NPI Details

SURGICAL OASIS INSTITUTE is an ambulatory surgical clinic center in Newport Beach, CA. SURGICAL OASIS INSTITUTE NPI is 1205490448. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Surgical Oasis Institute.

The provider's business location address is:

496 OLD NEWPORT BLVD STE 2
NEWPORT BEACH, CA
ZIP 92663-264
Phone: (949) 646-8444
Fax: (949) 646-8388

The provider's authorized official is Andrew Saeed Iraniha .
The authorized official title is Medical Director and has the following contact phone number (949) 646-8444.

The CLIA number assigned to this NPI record is 05D2163039 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2019 and was last updated on 11/12/2020.

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
1	208600000X	Surgery				No
2	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A55391	OTHER	CALIFORNIA	STATE MEDICAL LICENSE

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: 3/30/2025

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