NEWPORT BEACH SURGICAL AND MEDICAL GROUP INC
NPI 1477953511
Otolaryngology in Newport Beach, CA

Active since August 26, 2014
180 NEWPORT CENTER DR, SUITE 158, NEWPORT BEACH, CA 92660(949) 719-1800(949) 719-1810 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Newport Beach Surgical And Medical Group Inc NPPES

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

NEWPORT BEACH SURGICAL AND MEDICAL GROUP INC (NPI 1477953511) is a healthcare organization registered as an otolaryngology in Newport Beach, California and active in the NPI registry since August 2014. The organization lists Simon J. Madorsky, President, as its authorized official.

NPPES Registry Identity

NPI1477953511
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameNEWPORT BEACH SURGICAL AND MEDICAL GROUP INC
Location Address180 NEWPORT CENTER DR, SUITE 158Newport Beach, CA 92660-6972
Mailing AddressPo Box 6765Orange, CA 92863-6765 · (714) 571-5000 · Fax (714) 571-5055
Fax(949) 719-1810
Organization SubpartNo
Authorized OfficialSimon J. MadorskyPresident · (949) 719-1800
Enumeration DateAugust 26, 2014
Last NPPES UpdateDecember 4, 2014
NPI 1477953511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X
180 NEWPORT CENTER DR, Newport Beach, CA 92660

Other Identifiers 1

Medicare PINCB221699CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Compliance 05D1103389

Newport Beach Surgical And Medical Group, Inc · Newport Beach, CA
Expired · Jul 31, 2026
CLIA Number05D1103389
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorSimon J. Madorsky MD
Laboratory Phone(949) 719-1800
Laboratory LocationNewport Beach Surgical And Medical Group, Inc180 Newport Center Dr Ste 158, Newport Beach, CA 92660
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 (Ambulatory Surgical)
180 NEWPORT CENTER DR, SUITE 157
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

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 Newport Beach Surgical And Medical Group Inc's NPI number?

The NPI number for Newport Beach Surgical And Medical Group Inc is 1477953511. It was assigned to this organization in the NPPES registry on August 26, 2014.

Where is Newport Beach Surgical And Medical Group Inc located?

Newport Beach Surgical And Medical Group Inc is located at 180 Newport Center Dr Suite 158, Newport Beach, CA 92660. The listed phone number is (949) 719-1800.

What is Newport Beach Surgical And Medical Group Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Newport Beach Surgical And Medical Group Inc was last updated on December 4, 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.