ST JOSEPH SURGERY & LASER CENTER INC NPI 1679528772

NPI Information

  • NPI: 1679528772
  • Provider Name: ST JOSEPH SURGERY & LASER CENTER INC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: SAINT MARY AND JOSEPH SURGERY AND LASER CENTER, INC
  • Address: 436 S GLASSELL ST
    ORANGE, CA
    ZIP 92866
  • Phone: (714) 633-9566

Map and Directions

Get Directions

NPI Details

ST JOSEPH SURGERY & LASER CENTER INC is an ambulatory surgical clinic center in Orange, CA. ST JOSEPH SURGERY & LASER CENTER INC NPI is 1679528772. The provider is registered as an organization entity type.
The provider Is Doing Business As Saint Mary And Joseph Surgery And Laser Center, Inc.

The provider's business location address is:

436 S GLASSELL ST
ORANGE, CA
ZIP 92866-906
Phone: (714) 633-9566
Fax: (714) 633-7470

The provider's authorized official is Kathleen Ruper .
The authorized official title is Ceo and has the following contact phone number (714) 633-6060.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 10/13/2008.

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 Surgical060000429CALIFORNIAYes

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
1000010561MEDICARE PINCALIFORNIA
2ZZZH4044ZOTHERCALIFORNIABLUE SHIELD
305-C0001332MEDICARE PINCALIFORNIA
4490003001MEDICARE PINCALIFORNIA
5S051332MEDICARE PINCALIFORNIA
6SUR70020FMEDICAIDCALIFORNIA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI