SUSAN SAMUELI CENTER
NPI 1588036289
Clinic/Center - Multi-Specialty in Costa Mesa, CA

Active since October 21, 2015
1202 BRISTOL ST, SUITE 200, COSTA MESA, CA 92626(714) 424-9001(714) 424-9005 Get Directions Write a Review

NPPES record last updated: October 21, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Samueli Center NPPES

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

SUSAN SAMUELI CENTER (NPI 1588036289) is a healthcare organization registered as a multi-specialty in Costa Mesa, California and active in the NPI registry since October 2015. The organization lists Manuel Porto, President & C.e.o., as its authorized official.

NPPES Registry Identity

NPI1588036289
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSUSAN SAMUELI CENTER
Location Address1202 BRISTOL ST, SUITE 200Costa Mesa, CA 92626-8605
Mailing AddressPo Box 54559Los Angeles, CA 90054-0559 · (714) 456-3724 · Fax (714) 456-8101
Fax(714) 424-9005
Organization SubpartYesParent: Regents Of The University Of California
Authorized OfficialManuel PortoPresident & C.e.o. · (714) 456-2986
Enumeration DateOctober 21, 2015
NPI 1588036289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1202 BRISTOL ST, Costa Mesa, CA 92626

Other Providers at the Same Location NPPES 9

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

Clinic/Center (Multi-Specialty)
1202 BRISTOL ST, SUITE 200
COSTA MESA, CA 92626
Dentist
1202 BRISTOL ST, 140
COSTA MESA, CA 92626
Psychologist
1202 BRISTOL ST
COSTA MESA, CA 92626
Naturopath
1202 BRISTOL ST
COSTA MESA, CA 92626
Pediatrics (Developmental - Behavioral Pediatrics)
1202 BRISTOL ST
COSTA MESA, CA 92626
Mechanotherapist
1202 BRISTOL ST, 2ND FLOOR
COSTA MESA, CA 92626
Naturopath
1202 BRISTOL ST
COSTA MESA, CA 92626
Clinic/Center (Multi-Specialty)
1202 BRISTOL ST, SUITE 200
COSTA MESA, CA 92626

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 Susan Samueli Center's NPI number?

The NPI number for Susan Samueli Center is 1588036289. It was assigned to this organization in the NPPES registry on October 21, 2015.

Where is Susan Samueli Center located?

Susan Samueli Center is located at 1202 Bristol St Suite 200, Costa Mesa, CA 92626. The listed phone number is (714) 424-9001.

What is Susan Samueli Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Susan Samueli Center was last updated on October 21, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.