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ATHENIX
NPI 1629482609
Clinic/Center - Ambulatory Surgical in Irvine, CA

Active since June 17, 2014CLIA 05D2019817 · Waiver
113 WATERWORKS WAY STE 300, IRVINE, CA 92618(949) 450-0596(949) 450-0804 Get Directions Write a Review

NPPES record last updated: February 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Athenix NPPES

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

ATHENIX (NPI 1629482609) is a healthcare organization registered as an ambulatory surgical in Irvine, California and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through May 10, 2027 and lists James Haefner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629482609
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTHWEST SURGICAL DEVELOPMENT OF IRVINE
Location Address113 WATERWORKS WAY STE 300Irvine, CA 92618-3174
Mailing Address65 Enterprise Ste 125Aliso Viejo, CA 92656-2706 · (949) 600-9931 · Fax (949) 600-8029
Phone(949) 450-0596
Fax(949) 450-0804
Organization SubpartNo
Authorized OfficialJames HaefnerCeo · (949) 600-9931
Enumeration DateJune 17, 2014
Last NPPES UpdateFebruary 10, 2015
✔ NPI 1629482609 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 · 10305
113 WATERWORKS WAY STE 300, Irvine, CA 92618
Open in Google Maps ↗

Other Names 1

Doing Business AsAthenix

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 05D2019817

Athenix Advanced Plastic Surgery & Aesthetic Centers · Irvine, CA
Active · expires May 10, 2027
CLIA Number05D2019817
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 11, 2025
Certificate Expiration DateMay 10, 2027
Laboratory DirectorDr. Andrew D. Smith
Laboratory Phone(949) 450-0880
Laboratory LocationAthenix Advanced Plastic Surgery & Aesthetic Centers113 Waterworks Way Ste 300, Irvine, CA 92618
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

BLAKE BUTLER SPARKS M.D.
Plastic Surgery
113 WATERWORKS WAY STE 300
IRVINE, CA 92618
Orange County (949) 653-7000
ATHENIX PHYSICIANS GROUP, INC.
Plastic Surgery
113 WATERWORKS WAY STE 300
IRVINE, CA 92618
Orange County (949) 450-0596
MR. PAVLO ISAK MD
Plastic Surgery
113 WATERWORKS WAY STE 300
IRVINE, CA 92618
Orange County (949) 450-0880

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 Northwest Surgical Development Of Irvine's NPI number?

The NPI number for Northwest Surgical Development Of Irvine is 1629482609. It was assigned to this organization in the NPPES registry on June 17, 2014. The provider is doing business as Athenix.

Where is Northwest Surgical Development Of Irvine located?

Northwest Surgical Development Of Irvine is located at 113 Waterworks Way Ste 300, Irvine, CA 92618. The listed phone number is (949) 450-0596.

What is Northwest Surgical Development Of Irvine's specialty?

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

Does Northwest Surgical Development Of Irvine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2019817) is associated with this NPI, valid through May 10, 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 Northwest Surgical Development Of Irvine was last updated on February 10, 2015. 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.