RECONSTRUCTIVE SURGERY CENTER OF NEWPORT BEACH INC
NPI 1437592169
Clinic/Center - Ambulatory Surgical in Newport Beach, CA

NPI Status: Active since April 11, 2013

Contact Information

180 NEWPORT CENTER DR
SUITE 150
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 200-1600
Fax: (949) 200-1610

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2065647
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 05-25-2027

About RECONSTRUCTIVE SURGERY CENTER OF NEWPORT BEACH INC

This page provides the complete NPI Profile along with additional information for Reconstructive Surgery Center Of Newport Beach Inc, a provider established in Newport Beach, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1437592169 assigned on April 2013. The practitioner's primary taxonomy code is 261QA1903X with license number 3506862 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Simon J Madorsky M.d (Medical Director)

NPI
1437592169
Provider Name
RECONSTRUCTIVE SURGERY CENTER OF NEWPORT BEACH INC
Entity Type
Organization
Location Address
180 NEWPORT CENTER DR SUITE 150 NEWPORT BEACH, CA 92660
Location Phone
(949) 200-1600
Location Fax
(949) 200-1610
Mailing Address
180 NEWPORT CENTER DR SUITE 150 NEWPORT BEACH, CA 92660
Mailing Phone
(949) 200-1600
Mailing Fax
(949) 200-1610
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-11-2013
Last Update Date
05-11-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
3506862
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SIMON J MADORSKY M.D

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(949) 200-1600

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Creation of flap graft to head and/or neck

A flap graft to the head or neck is a surgical procedure where healthy tissue is moved from one area of your body to another. This is done to replace damaged tissue, improve blood flow, or restore function in the head or neck area.

This service was performed 49 times for 47 patients

Creation of flap graft to midface

A flap graft to the midface is a surgical procedure where a piece of tissue, with its blood supply, is transferred from one area of the body to the midface region. This helps restore form and function, especially after injury or disease.

This service was performed 11 times for 11 patients

Creation of skin and tissue graft

The creation of skin and tissue grafts involves taking healthy skin or tissue from one area of your body to replace damaged or missing skin or tissue in another area. This procedure helps heal wounds, burns, or areas affected by disease.

This service was performed 49 times for 44 patients

Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less

A full thickness skin graft is a procedure where a layer of skin is taken from one area of the body and transplanted to another. If it's done on the nose, ears, eyelids, or lips, it helps restore these areas when damaged. The size of the graft is 20.0 sq cm or less.

This service was performed 26 times for 25 patients

Graft of nose cartilage

A graft of nose cartilage is a surgical procedure where a piece of cartilage is taken from another part of your body and used to repair or reshape your nose. This is often done to improve breathing, correct deformities, or enhance the nose's appearance.

This service was performed 13 times for 13 patients

Obtaining ear cartilage for grafting

Obtaining ear cartilage for grafting involves a minor surgical procedure. A small piece of cartilage is taken from your ear, usually from a hidden area. This cartilage can then be used to repair or reconstruct other parts of the body. The procedure is generally safe with minimal discomfort.

This service was performed 17 times for 16 patients

Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less

This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.

This service was performed 105 times for 96 patients

Repair of nasal passage

Repair of the nasal passage is a surgical procedure aimed at correcting problems in your nose that cause difficulty in breathing or other discomforts. It can address issues like a deviated septum, nasal polyps, or chronic sinusitis. The goal is to improve your quality of life.

This service was performed 37 times for 32 patients

Repair of wound by transferring skin, 30.1-60.0 sq cm

This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.

This service was performed 64 times for 59 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

This service was performed 91 times for 78 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less

This procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.

This service was performed 106 times for 91 patients

Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less

This procedure involves repairing a wound on your scalp, arm, or leg by transferring a small piece of skin, 10.0 sq cm or less, from a different area of your body. This skin graft helps promote healing and minimizes scarring.

This service was performed 13 times for 11 patients

Strapping, unna boot

An Unna Boot is a special bandage, soaked in a gel, wrapped around your lower leg and foot. It helps heal leg sores, improve circulation, and reduce swelling. The boot hardens and provides compression, promoting healing and comfort.

This service was performed 11 times for 11 patients

Transfer of skin flap to eyelids, nose, ears, or lips

This procedure involves moving a piece of skin, called a flap, from one part of your body to your eyelids, nose, ears, or lips. It's typically done to repair areas affected by injury, disease, or surgery. The goal is to improve function and appearance.

This service was performed 22 times for 17 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2065647
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
May 26, 2025
Certificate Expiration Date
May 25, 2027
Laboratory Director
SIMON MADORSKY, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Reconstructive Surgery Center Of Newport Beach Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1437592169, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
3
Doubled → 6
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 5 → 10 → 1 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 6 + 7 + 1 + 0 + 9 + 4 + 1 + 1 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1437592169.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Plastic Surgery
180 NEWPORT CENTER DR, SUITE 150
NEWPORT BEACH, CA 92660
Clinic/Center (Primary Care)
180 NEWPORT CENTER DR, SUITE 120
NEWPORT BEACH, CA 92660
Plastic Surgery
180 NEWPORT CENTER DR, SUITE 170
NEWPORT BEACH, CA 92660
Otolaryngology (Facial Plastic Surgery)
180 NEWPORT CENTER DR, SUITE 158
NEWPORT BEACH, CA 92660
Plastic Surgery
180 NEWPORT CENTER DR, SUITE 170
NEWPORT BEACH, CA 92660
Clinic/Center (Medical Specialty)
180 NEWPORT CENTER DR, 265
NEWPORT BEACH, CA 92660
Clinic/Center (Medical Specialty)
180 NEWPORT CENTER DR, 265
NEWPORT BEACH, CA 92660
Dietitian, Registered
180 NEWPORT CENTER DR, SUITE 162
NEWPORT BEACH, CA 92660
Surgery (Plastic and Reconstructive Surgery)
180 NEWPORT CENTER DR, 158
NEWPORT BEACH, CA 92660
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
180 NEWPORT CENTER DR, SUITE 158
NEWPORT BEACH, CA 92660
Clinic/Center (Health Service)
180 NEWPORT CENTER DR, 265
NEWPORT BEACH, CA 92660
Anesthesiology
180 NEWPORT CENTER DR, SUITE 150
NEWPORT BEACH, CA 92660
Otolaryngology
180 NEWPORT CENTER DR, SUITE 158
NEWPORT BEACH, CA 92660
Dentist (General Practice)
180 NEWPORT CENTER DR, STE 210
NEWPORT BEACH, CA 92660
Otolaryngology
180 NEWPORT CENTER DR, 158
NEWPORT BEACH, CA 92660
Dermatology
180 NEWPORT CENTER DR, SUITE 158
NEWPORT BEACH, CA 92660
Clinic/Center (Ambulatory Surgical)
180 NEWPORT CENTER DR, SUITE 157
NEWPORT BEACH, CA 92660
Counselor
180 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660
Dentist
180 NEWPORT CENTER DR, #210
NEWPORT BEACH, CA 92660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437592169, enumerated as an "organization" on April 11, 2013.

The provider is located at 180 NEWPORT CENTER DR SUITE 150 NEWPORT BEACH, CA 92660 and the phone number is (949) 200-1600.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.