MEMORIAL CARE SURGICAL CENTER AT ORANGE COAST, LLC
NPI 1114168309
Clinic/Center - Ambulatory Surgical in Fountain Valley, CA

Active since March 17, 2009CLIA 05D1106789 · Waiver
18111 BROOKHURST STREET, 3200 SUITE, FOUNTAIN VALLEY, CA 92708(951) 378-3738 Get Directions Write a Review

NPPES record last updated: September 11, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Memorial Care Surgical Center At Orange Coast, Llc NPPES

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

MEMORIAL CARE SURGICAL CENTER AT ORANGE COAST, LLC (NPI 1114168309) is a healthcare organization registered as an ambulatory surgical in Fountain Valley, California and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through October 21, 2027 and lists Cheryl R Jacob, Vp Operations, as its authorized official.

NPPES Registry Identity

NPI1114168309
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMEMORIAL CARE SURGICAL CENTER AT ORANGE COAST, LLC
Location Address18111 BROOKHURST STREET, 3200 SUITEFountain Valley, CA 92708
Mailing Address18111 Brookhurst Street, 3200 SuiteFountain Valley, CA 92708 · (951) 378-3738
Organization SubpartNo
Authorized OfficialCheryl R JacobVp Operations · (714) 378-7412
Enumeration DateMarch 17, 2009
Last NPPES UpdateSeptember 11, 2009
NPI 1114168309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
18111 BROOKHURST STREET, Fountain Valley, CA 92708

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1106789

Memorialcare Surgical Center At Orange Coast, LLC · Fountain Valley, CA
Active · expires Oct 21, 2027
CLIA Number05D1106789
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorMagdi Sidhom, MD
Laboratory Phone(714) 369-1106
Laboratory LocationMemorialcare Surgical Center At Orange Coast, LLC18111 Brookhurst St Ste 3200, Fountain Valley, CA 92708
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 28

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
257 services186 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
215 services214 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
177 services174 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
149 services149 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
112 services47 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
111 services74 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
18111 BROOKHURST STREET, SUITE 5600
FOUNTAIN VALLEY, CA 92708
Specialist
18111 BROOKHURST STREET, SUITE 5600
FOUNTAIN VALLEY, CA 92708
Podiatrist (Foot & Ankle Surgery)
18111 BROOKHURST STREET, SUITE 3400
FOUNTAIN VALLEY, CA 92708

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 Memorial Care Surgical Center At Orange Coast, LLC's NPI number?

The NPI number for Memorial Care Surgical Center At Orange Coast, LLC is 1114168309. It was assigned to this organization in the NPPES registry on March 17, 2009.

Where is Memorial Care Surgical Center At Orange Coast, LLC located?

Memorial Care Surgical Center At Orange Coast, LLC is located at 18111 Brookhurst Street 3200 Suite, Fountain Valley, CA 92708. The listed phone number is (951) 378-3738.

What is Memorial Care Surgical Center At Orange Coast, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Memorial Care Surgical Center At Orange Coast, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1106789) is associated with this NPI, valid through October 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Memorial Care Surgical Center At Orange Coast, LLC was last updated on September 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.