BROAD REACH SPECIALTY SURGERY INC
NPI 1568971869
Radiology - Vascular & Interventional Radiology in Irvine, CA

Q: What is Broad Reach Specialty Surgery Inc's NPI number?

The NPI number for Broad Reach Specialty Surgery Inc is 1568971869. It was assigned to this organization in the NPPES registry on September 29, 2017.

Q: What is Broad Reach Specialty Surgery Inc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Active since September 29, 2017

1400 REYNOLDS AVE STE 200, IRVINE, CA 92614(949) 387-4724 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 7, 2025, Jul 21, 2022 (2 updates tracked since 2022).

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About Broad Reach Specialty Surgery Inc NPPES

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

BROAD REACH SPECIALTY SURGERY INC (NPI 1568971869) is a healthcare organization registered as a vascular & interventional radiology in Irvine, California and active in the NPI registry since September 2017. The organization lists John Joseph Hewett, President, as its authorized official.

NPPES Registry Identity

NPI1568971869

Entity TypeOrganization

Primary Taxonomy2085R0204X

Legal Business NameBROAD REACH SPECIALTY SURGERY INC

Location Address1400 REYNOLDS AVE STE 200Irvine, CA 92614-5563

Mailing Address1400 Reynolds Ave Ste 200Irvine, CA 92614-5563 · (949) 387-4724

Phone(949) 387-4724

Organization SubpartNo

Authorized OfficialJohn Joseph HewettPresident · (949) 387-4724

Enumeration DateSeptember 29, 2017

Last NPPES UpdateApril 7, 20252 updates tracked since enumeration

NPPES CertifiedApril 7, 2025

✔ NPI 1568971869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

1400 REYNOLDS AVE STE 200, Irvine, CA 92614

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Broad Reach Specialty Surgery Inc's NPI number?

The NPI number for Broad Reach Specialty Surgery Inc is 1568971869. It was assigned to this organization in the NPPES registry on September 29, 2017.

Where is Broad Reach Specialty Surgery Inc located?

Broad Reach Specialty Surgery Inc is located at 1400 Reynolds Ave Ste 200, Irvine, CA 92614. The listed phone number is (949) 387-4724.

What is Broad Reach Specialty Surgery Inc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Broad Reach Specialty Surgery Inc was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.