ORANGE COUNTY EYE SURGICAL CENTER
NPI 1194803320
Clinic/Center - Ambulatory Surgical in Garden Grove, CA
About Orange County Eye Surgical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ORANGE COUNTY EYE SURGICAL CENTER (NPI 1194803320) is a healthcare organization registered as an ambulatory surgical in Garden Grove, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through March 18, 2028 and lists Ruth Gasso, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Orange County Eye Surgical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Orange County Eye Surgical Center, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 05D2074969
Orange County Eye Surgical Center · Garden Grove, CAAreas of Expertise CMS Part B claims 4
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.
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 Orange County Ophthalmology Medical Group's NPI number?
The NPI number for Orange County Ophthalmology Medical Group is 1194803320. It was assigned to this organization in the NPPES registry on November 2, 2006. The provider is doing business as Orange County Eye Surgical Center.
Where is Orange County Ophthalmology Medical Group located?
Orange County Ophthalmology Medical Group is located at 12665 Garden Grove Blvd Suite 401, Garden Grove, CA 92843. The listed phone number is (714) 534-8373.
What is Orange County Ophthalmology Medical Group's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Orange County Ophthalmology Medical Group enrolled in Medicare?
Yes. Orange County Ophthalmology Medical Group is registered in the Medicare PECOS enrollment system.
When is Orange County Ophthalmology Medical Group's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Ambulatory Surgical Center) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Orange County Ophthalmology Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Orange County Ophthalmology Medical Group, in Certified Registered Nurse Anesthetist (CRNA) and Ophthalmology. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Orange County Ophthalmology Medical Group hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2074969) is associated with this NPI, valid through March 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Orange County Ophthalmology Medical Group was last updated on April 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Orange County Eye Surgical Center · NPI 1194803320
Ambulatory Surgical organization in Garden Grove, California. Organization record, active in the CMS NPPES registry since November 2, 2006.
## Identity
- **NPI:** 1194803320 (Entity type: Organization)
- **Enumerated:** November 2, 2006
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Legal business name:** Orange County Ophthalmology Medical Group
- **Organization subpart:** No
- **Authorized official:** Ruth Gasso, OFFICE MANAGER
## Practice location
- **Address:** 12665 GARDEN GROVE BLVD, SUITE 401, Garden Grove, CA 92843-1901
- **Phone:** (714) 534-8373 · **Fax:** (714) 534-8759
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, California, Ambulatory Surgical Center) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (2), Ophthalmology (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2016
- **Other identifiers:** Medicare PIN S051061 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194803320) · Data from the CMS NPPES public registry.