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SUSAN SAMUELI CENTER
NPI 1114317872
Clinic/Center - Multi-Specialty in Costa Mesa, CA

Active since February 02, 2015
1202 BRISTOL ST, SUITE 200, COSTA MESA, CA 92626(714) 424-9001(714) 424-9005 Get Directions Write a Review

NPPES record last updated: February 2, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Susan Samueli Center NPPES

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

SUSAN SAMUELI CENTER (NPI 1114317872) is a healthcare organization registered as a multi-specialty in Costa Mesa, California and active in the NPI registry since February 2015. The organization lists John A. Heydt, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1114317872
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSUSAN SAMUELI CENTER
Location Address1202 BRISTOL ST, SUITE 200Costa Mesa, CA 92626-8605
Mailing AddressPo Box 54509Los Angeles, CA 90054-0509 · (714) 456-6585 · Fax (714) 456-8101
Phone(714) 424-9001
Fax(714) 424-9005
Organization SubpartYesParent: Regents Of The University Of California
Authorized OfficialJohn A. HeydtChief Executive Officer · (714) 456-2986
Enumeration DateFebruary 2, 2015
✔ NPI 1114317872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1202 BRISTOL ST, Costa Mesa, CA 92626
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Other Providers at the Same Location NPPES 9

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

MARK K. NGUYEN DENTAL BUSINESS A PROF CORP
Dentist
1202 BRISTOL ST, 140
COSTA MESA, CA 92626
Orange County (714) 545-0484
DR. SARA HARRIS ELISABETH BOLLENS PH.D.
Psychologist
1202 BRISTOL ST
COSTA MESA, CA 92626
Orange County (949) 267-0400
MAGGIE BETH QUINN ND
Naturopath
1202 BRISTOL ST
COSTA MESA, CA 92626
Orange County (714) 424-9001
DR. MARC ALAN LERNER MD
Pediatrics (Developmental - Behavioral Pediatrics)
1202 BRISTOL ST
COSTA MESA, CA 92626
Orange County (949) 267-0400
LEILA ASTARABADI LMP
Mechanotherapist
1202 BRISTOL ST, 2ND FLOOR
COSTA MESA, CA 92626
Orange County (714) 424-9001
SUSAN SAMUELI CENTER
Clinic/Center (Multi-Specialty)
1202 BRISTOL ST, SUITE 200
COSTA MESA, CA 92626
Orange County (714) 424-9001
ROWENA DALY N.D.
Naturopath
1202 BRISTOL ST
COSTA MESA, CA 92626
Orange County (714) 424-9001
SUSAN SAMUELI CENTER
Clinic/Center (Multi-Specialty)
1202 BRISTOL ST, SUITE 200
COSTA MESA, CA 92626
Orange County (714) 424-9001

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 Susan Samueli Center's NPI number?

The NPI number for Susan Samueli Center is 1114317872. It was assigned to this organization in the NPPES registry on February 2, 2015.

Where is Susan Samueli Center located?

Susan Samueli Center is located at 1202 Bristol St Suite 200, Costa Mesa, CA 92626. The listed phone number is (714) 424-9001.

What is Susan Samueli Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Susan Samueli Center was last updated on February 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.