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

Active since April 11, 2013CLIA 05D2065647 · Waiver
180 NEWPORT CENTER DR, SUITE 150, NEWPORT BEACH, CA 92660(949) 200-1600(949) 200-1610 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Reconstructive Surgery Center Of Newport Beach Inc NPPES

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

RECONSTRUCTIVE SURGERY CENTER OF NEWPORT BEACH INC (NPI 1437592169) is a healthcare organization registered as an ambulatory surgical in Newport Beach, California and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through May 25, 2027 and lists Simon J Madorsky, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1437592169
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameRECONSTRUCTIVE SURGERY CENTER OF NEWPORT BEACH INC
Location Address180 NEWPORT CENTER DR, SUITE 150Newport Beach, CA 92660-6972
Mailing Address180 Newport Center Dr, Suite 150Newport Beach, CA 92660-6972 · (949) 200-1600 · Fax (949) 200-1610
Phone(949) 200-1600
Fax(949) 200-1610
Organization SubpartNo
Authorized OfficialSimon J MadorskyMedical Director · (949) 200-1600
Enumeration DateApril 11, 2013
Last NPPES UpdateMay 11, 2017
✔ NPI 1437592169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CA · 3506862
180 NEWPORT CENTER DR, Newport Beach, CA 92660
Open in Google Maps ↗

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 05D2065647

Reconstructive Surgery Center Of Newport Beach · Newport Beach, CA
Active · expires May 25, 2027
CLIA Number05D2065647
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorSimon Madorsky, MD
Laboratory Phone(949) 200-1600
Laboratory LocationReconstructive Surgery Center Of Newport Beach180 Newport Center Dr St 150, Newport Beach, CA 92660
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

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.

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 15004
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.
118 services99 patients
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060
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.
93 services77 patients
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less 14040
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.
89 services75 patients
Creation of skin and tissue graft 15740
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.
49 services48 patients
Repair of wound by transferring skin, 30.1-60.0 sq cm 14301
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.
47 services40 patients
Creation of flap graft to head and/or neck 15733
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.
45 services44 patients

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.

DR. NIRAV BABULAL SAVALIA M.D.
Plastic Surgery
180 NEWPORT CENTER DR, SUITE 170
NEWPORT BEACH, CA 92660
Orange County (949) 759-0980
DAINES PLASTIC SURGERY INC
Surgery (Plastic and Reconstructive Surgery)
180 NEWPORT CENTER DR, 158
NEWPORT BEACH, CA 92660
Orange County (949) 719-1800
GIGI KROLL MCCONNAUGHEY
Clinic/Center (Medical Specialty)
180 NEWPORT CENTER DR, 265
NEWPORT BEACH, CA 92660
Orange County (949) 706-0181
SKIN CANCER AND RECONSTRUCTIVE SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
180 NEWPORT CENTER DR, SUITE 157
NEWPORT BEACH, CA 92660
Orange County (949) 200-1600
GIGI KROLL MD, APC
Clinic/Center (Health Service)
180 NEWPORT CENTER DR, 265
NEWPORT BEACH, CA 92660
Orange County (949) 706-0181
DR. KRISTY FAYE FLEMING M.D.
Dermatology
180 NEWPORT CENTER DR, SUITE 158
NEWPORT BEACH, CA 92660
Orange County (949) 719-1800
SIMON MADORSKY M.D A MEDICAL CORPORATION
Otolaryngology (Facial Plastic Surgery)
180 NEWPORT CENTER DR, SUITE 158
NEWPORT BEACH, CA 92660
Orange County (949) 719-1800
SIMON JOSEPH MADORSKY M.D.
Otolaryngology
180 NEWPORT CENTER DR, 158
NEWPORT BEACH, CA 92660
Orange County (949) 719-1800

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 Reconstructive Surgery Center Of Newport Beach Inc's NPI number?

The NPI number for Reconstructive Surgery Center Of Newport Beach Inc is 1437592169. It was assigned to this organization in the NPPES registry on April 11, 2013.

Where is Reconstructive Surgery Center Of Newport Beach Inc located?

Reconstructive Surgery Center Of Newport Beach Inc is located at 180 Newport Center Dr Suite 150, Newport Beach, CA 92660. The listed phone number is (949) 200-1600.

What is Reconstructive Surgery Center Of Newport Beach Inc's specialty?

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

Does Reconstructive Surgery Center Of Newport Beach Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2065647) is associated with this NPI, valid through May 25, 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 Reconstructive Surgery Center Of Newport Beach Inc was last updated on May 11, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.