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MOSAIC SURGERY CENTER, LLC
NPI 1508034380
Clinic/Center - Ambulatory Surgical in Huntington Beach, CA

Active since February 14, 2008CLIA 05D1091863 · Waiver
17742 BEACH BLVD, STE. #335, HUNTINGTON BEACH, CA 92647(714) 848-1133(714) 848-4114 Get Directions Write a Review

NPPES record last updated: October 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mosaic Surgery Center, Llc NPPES

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

MOSAIC SURGERY CENTER, LLC (NPI 1508034380) is a healthcare organization registered as an ambulatory surgical in Huntington Beach, California and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Steve T. Vu, Owner, as its authorized official.

NPPES Registry Identity

NPI1508034380
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMOSAIC SURGERY CENTER, LLC
Location Address17742 BEACH BLVD, STE. #335Huntington Beach, CA 92647-6818
Mailing Address17742 Beach Blvd, Ste. #335Huntington Beach, CA 92647-6818 · (714) 848-1133 · Fax (714) 848-4114
Phone(714) 848-1133
Fax(714) 848-4114
Organization SubpartNo
Authorized OfficialSteve T. VuOwner · (714) 848-1133
Enumeration DateFebruary 14, 2008
Last NPPES UpdateOctober 20, 2009
✔ NPI 1508034380 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 · A64785
17742 BEACH BLVD, Huntington Beach, CA 92647
Open in Google Maps ↗

Other Identifiers 5

Other1043264534CA · Professional Corp Npi #
OtherWA64785BCA · Mcare Prof Individ Pin #
Other1225081953CA · Profession Individ Npi #
Medicare PINW19905CA
Medicare UPINF87588CA

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 05D1091863

Mosaic Surgery Center, LLC · Huntington Beach, CA
Active · expires Nov 11, 2026
CLIA Number05D1091863
Laboratory TypeAmbulance
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorSteve T. Vu MD
Laboratory Phone(714) 848-1133
Laboratory LocationMosaic Surgery Center, LLC17742 Beach Blvd #335, Huntington Beach, CA 92647
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. KELSEY CARL PETERSON JR. M.D.
Specialist
17742 BEACH BLVD, 245
HUNTINGTON BEACH, CA 92647
Orange County (714) 329-0179
CALIFORNIA AESTHETIC CENTER A MEDICAL CORPORATION
Plastic Surgery
17742 BEACH BLVD, SUITE 335
HUNTINGTON BEACH, CA 92647
Orange County (714) 848-1133
ROZITA POUROUSHASB M.D.
Pediatrics
17742 BEACH BLVD, SUITE 360
HUNTINGTON BEACH, CA 92647
Orange County (714) 848-0868
VIPAL SONI M.D.
Dermatology
17742 BEACH BLVD, SUITE #325
HUNTINGTON BEACH, CA 92647
Orange County (714) 848-0770
DR. MARY ANNETTE COTE M.D.
Ophthalmology
17742 BEACH BLVD, SUITE 305
HUNTINGTON BEACH, CA 92647
Orange County (714) 596-4488
BASSIL AISH MD
Family Medicine
17742 BEACH BLVD, STE 215
HUNTINGTON BEACH, CA 92647
Orange County (714) 848-1655
DR. JOHANNA DUBYAK M.D.
Obstetrics & Gynecology
17742 BEACH BLVD, SUITE 345
HUNTINGTON BEACH, CA 92647
Orange County (714) 841-9899
PAUL ALAN REGGIARDO D.D.S.
Dentist (Pediatric Dentistry)
17742 BEACH BLVD, SUITE 320
HUNTINGTON BEACH, CA 92647
Orange County (714) 848-0234

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 Mosaic Surgery Center, LLC's NPI number?

The NPI number for Mosaic Surgery Center, LLC is 1508034380. It was assigned to this organization in the NPPES registry on February 14, 2008.

Where is Mosaic Surgery Center, LLC located?

Mosaic Surgery Center, LLC is located at 17742 Beach Blvd Ste. #335, Huntington Beach, CA 92647. The listed phone number is (714) 848-1133.

What is Mosaic Surgery Center, LLC's specialty?

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

Does Mosaic Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1091863) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mosaic Surgery Center, LLC was last updated on October 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.