PEDIATRIC SURGICAL ASSOCIATES INC A MEDICAL CORPORATION
NPI 1073703245
Specialist in Orange, CA

Q: What is Pediatric Surgical Associates Inc A Medical Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since July 25, 2007

396 S MAIN ST STE 200, ORANGE, CA 92868(714) 361-4480(714) 361-4490 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Pediatric Surgical Associates Inc A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC SURGICAL ASSOCIATES INC A MEDICAL CORPORATION (NPI 1073703245) is a healthcare organization registered as a specialist in Orange, California and active in the NPI registry since July 2007. The organization lists Vinh Lam, Vice President, as its authorized official.

NPPES Registry Identity

NPI1073703245

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePEDIATRIC SURGICAL ASSOCIATES INC A MEDICAL CORPORATION

Location Address396 S MAIN ST STE 200Orange, CA 92868-3845

Mailing Address396 S Main St Ste 200Orange, CA 92868-3845 · (714) 361-4480 · Fax (714) 361-4490

Phone(714) 361-4480

Fax(714) 361-4490

Organization SubpartNo

Authorized OfficialVinh LamVice President · (714) 361-4480

Enumeration DateJuly 25, 2007

Last NPPES UpdateMarch 19, 2020

NPPES CertifiedMarch 19, 2020

✔ NPI 1073703245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

396 S MAIN ST STE 200, Orange, CA 92868

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pediatric Surgical Associates Inc A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pediatric Surgical Associates Inc A Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vinh Lam, M.D.

Pediatric Surgery

NPI 1336119122

396 S MAIN ST STE 200
Orange, CA 92868

(714) 361-4480

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Surgical Associates Inc A Medical Corporation's NPI number?

The NPI number for Pediatric Surgical Associates Inc A Medical Corporation is 1073703245. It was assigned to this organization in the NPPES registry on July 25, 2007.

Where is Pediatric Surgical Associates Inc A Medical Corporation located?

Pediatric Surgical Associates Inc A Medical Corporation is located at 396 S Main St Ste 200, Orange, CA 92868. The listed phone number is (714) 361-4480.

What is Pediatric Surgical Associates Inc A Medical Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Pediatric Surgical Associates Inc A Medical Corporation enrolled in Medicare?

Yes. Pediatric Surgical Associates Inc A Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pediatric Surgical Associates Inc A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Surgery) reassigns their Medicare billing to Pediatric Surgical Associates Inc A Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pediatric Surgical Associates Inc A Medical Corporation was last updated on March 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.