RENAISSANCE SURGICAL ARTS AT NEWPORT HARBOR, LLC (NPI# 1659685881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659685881 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE SURGICAL ARTS AT NEWPORT HARBOR, LLC |
| Practice Address |
1640 Newport Blvd Ste 100 Costa Mesa CA 92627-3786 |
| Practice Telephone | 9496291400 |
| Practice Fax Number | 9496291500 |
| Mailing Telephone | 9496291400 |
| Mailing Fax Number | 9496291500 |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2011-09-26 |
| Authorized Official Name | MR. BRUCE WALLACE (CEO) |
| Authorized Official Telephone | 9496291400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
1640 NEWPORT BLVD STE 100 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-3786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417930975 | Marc V. Gianzero | Anesthesiology | 1640 Newport Blvd Ste 100, Costa Mesa, CA 92627-3786 | 2005-11-29 |
| 1457735433 | A Berlowitz Inc | Anesthesiology | 1640 Newport Blvd Ste 100, Costa Mesa, CA 92627-3786 | 2015-07-19 |
| 1053573535 | Andrew Alan Berlowitz | Anesthesiology | 1640 Newport Blvd Ste 100, Costa Mesa, CA 92627-3786 | 2008-06-26 |
| 1588832679 | Marc Gianzero Md Professional Corporation | Anesthesiology | 1640 Newport Blvd Ste 100, Costa Mesa, CA 92627-3786 | 2008-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629362140 | Center for Pain Relief | Clinic/Center | 1520 Nutmeg Pl Ste 103, Costa Mesa, CA 92626-2557 | 2011-06-01 |
| 1184654485 | Advanced Surgical Partners, LLC | Clinic/Center | 720 Paularino Ave Ste 100, Costa Mesa, CA 92626-6917 | 2006-07-03 |
| 1013962521 | Newport Plaza Surgery Center | Clinic/Center | 1091 Newport Blvd, Ste 240, Costa Mesa, CA 92627 | 2006-05-23 |
| 1801257803 | Pacific Surgery Center | Clinic/Center | 1640 Newport Blvd, Suite 100, Costa Mesa, CA 92627-3786 | 2016-03-18 |
| 1003157835 | American Surgical Center-oc | Clinic/Center | 1640 Newport Blvd, Suite 150, Costa Mesa, CA 92627-3786 | 2013-03-04 |
| 1023365913 | Ps Center, LLC | Clinic/Center | 1640 Newport Blvd, Suite 100, Costa Mesa, CA 92627-3786 | 2012-08-09 |
| 1639439920 | Pcscllc | Clinic/Center | 1640 Newport Blvd, Suite 260, Costa Mesa, CA 92627-3786 | 2012-05-21 |
| 1124314281 | Surgery Center At South Coast Plaza | Clinic/Center | 3420 Bristol St, Suite 701, Costa Mesa, CA 92626-7170 | 2011-06-27 |
| 1205142890 | Harbor View Industrial Medical Group, Inc. | Clinic/Center | 1520 Nutmeg Pl, Suite 112, Costa Mesa, CA 92626-2501 | 2010-08-20 |
| 1932413176 | South Coast Specialty Surgery Center, Inc. | Clinic/Center | 3420 Bristol St, Suite 750, Costa Mesa, CA 92626-7170 | 2010-07-29 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
Please comment or provide details below to improve the information on RENAISSANCE SURGICAL ARTS AT NEWPORT HARBOR, LLC.
| 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.