SKIN CANCER AND RECONSTRUCTIVE SURGERY CENTER, LLC
NPI 1265676993
Clinic/Center - Ambulatory Surgical in Newport Beach, CA

Active since April 24, 2009
180 NEWPORT CENTER DR, SUITE 157, NEWPORT BEACH, CA 92660(949) 200-1600(949) 200-1610 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 23, 2019, Nov 30, 2018 (2 updates tracked since 2018).

About Skin Cancer And Reconstructive Surgery Center, Llc NPPES

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

SKIN CANCER AND RECONSTRUCTIVE SURGERY CENTER, LLC (NPI 1265676993) is a healthcare organization registered as an ambulatory surgical in Newport Beach, California and active in the NPI registry since April 2009. The organization lists Simon Joseph Madorsky, Owner, as its authorized official.

NPPES Registry Identity

NPI1265676993
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSKIN CANCER AND RECONSTRUCTIVE SURGERY CENTER, LLC
Location Address180 NEWPORT CENTER DR, SUITE 157Newport Beach, CA 92660-6972
Mailing Address180 Newport Center Dr, Suite 157Newport Beach, CA 92660-6972 · (949) 200-1600 · Fax (949) 200-1610
Fax(949) 200-1610
Organization SubpartNo
Authorized OfficialSimon Joseph MadorskyOwner · (949) 200-1600
Enumeration DateApril 24, 2009
Last NPPES UpdateJanuary 23, 20192 updates tracked since enumeration
NPI 1265676993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
180 NEWPORT CENTER DR, Newport Beach, CA 92660

Other Providers at the Same Location NPPES 19

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

Plastic Surgery
180 NEWPORT CENTER DR, SUITE 170
NEWPORT BEACH, CA 92660
Surgery (Plastic and Reconstructive Surgery)
180 NEWPORT CENTER DR, 158
NEWPORT BEACH, CA 92660
Clinic/Center (Medical Specialty)
180 NEWPORT CENTER DR, 265
NEWPORT BEACH, CA 92660
Clinic/Center (Health Service)
180 NEWPORT CENTER DR, 265
NEWPORT BEACH, CA 92660
Dermatology
180 NEWPORT CENTER DR, SUITE 158
NEWPORT BEACH, CA 92660
Otolaryngology (Facial Plastic Surgery)
180 NEWPORT CENTER DR, SUITE 158
NEWPORT BEACH, CA 92660
Clinic/Center (Ambulatory Surgical)
180 NEWPORT CENTER DR, SUITE 150
NEWPORT BEACH, CA 92660
Otolaryngology
180 NEWPORT CENTER DR, 158
NEWPORT BEACH, CA 92660

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 Skin Cancer And Reconstructive Surgery Center, LLC's NPI number?

The NPI number for Skin Cancer And Reconstructive Surgery Center, LLC is 1265676993. It was assigned to this organization in the NPPES registry on April 24, 2009.

Where is Skin Cancer And Reconstructive Surgery Center, LLC located?

Skin Cancer And Reconstructive Surgery Center, LLC is located at 180 Newport Center Dr Suite 157, Newport Beach, CA 92660. The listed phone number is (949) 200-1600.

What is Skin Cancer And Reconstructive Surgery Center, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Skin Cancer And Reconstructive Surgery Center, LLC was last updated on January 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.