MILE SQUARE SURGERY CENTER INC
NPI 1447255435
Clinic/Center - Ambulatory Surgical in Fountain Valley, CA

Active since June 16, 2005CLIA 05D0984346 · Waiver
10760 WARNER AVENUE, 102, FOUNTAIN VALLEY, CA 92708(714) 274-0388(714) 274-0387 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mile Square Surgery Center Inc NPPES

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

MILE SQUARE SURGERY CENTER INC (NPI 1447255435) is a healthcare organization registered as an ambulatory surgical in Fountain Valley, California and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through March 19, 2027 and lists Douglas A. Tran, Doctor, as its authorized official.

NPPES Registry Identity

NPI1447255435
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMILE SQUARE SURGERY CENTER INC
Location Address10760 WARNER AVENUE, 102Fountain Valley, CA 92708
Mailing Address10760 Warner Avenue, 102Fountain Valley, CA 92708 · (714) 274-0388 · Fax (714) 274-0387
Fax(714) 274-0387
Organization SubpartNo
Authorized OfficialDouglas A. TranDoctor · (714) 274-0388
Enumeration DateJune 16, 2005
Last NPPES UpdateDecember 17, 2014
NPI 1447255435 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 · S051526
10760 WARNER AVENUE, Fountain Valley, CA 92708

Other Identifiers 1

Medicare PINS051526CA

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 05D0984346

Mile Square Surgery Center, Inc · Fountain Valley, CA
Active · expires Mar 19, 2027
CLIA Number05D0984346
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 20, 2025
Certificate Expiration DateMarch 19, 2027
Laboratory DirectorDouglas A. Tran MD
Laboratory Phone(714) 274-0388
Laboratory LocationMile Square Surgery Center, Inc10760 Warner Avenue #102, Fountain Valley, CA 92708
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

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.

Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
12 services11 patients

Other Providers at the Same Location NPPES 3

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

Otolaryngology
10760 WARNER AVENUE, 201
FOUNTAIN VALLEY, CA 92708
Otolaryngology
10760 WARNER AVENUE, 201
FOUNTAIN VALLEY, CA 92708
Otolaryngology
10760 WARNER AVENUE, 201
FOUNTAIN VALLEY, CA 92708

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 Mile Square Surgery Center Inc's NPI number?

The NPI number for Mile Square Surgery Center Inc is 1447255435. It was assigned to this organization in the NPPES registry on June 16, 2005.

Where is Mile Square Surgery Center Inc located?

Mile Square Surgery Center Inc is located at 10760 Warner Avenue 102, Fountain Valley, CA 92708. The listed phone number is (714) 274-0388.

What is Mile Square Surgery Center Inc's specialty?

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

Does Mile Square Surgery Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0984346) is associated with this NPI, valid through March 19, 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 Mile Square Surgery Center Inc was last updated on December 17, 2014. 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.