RENAISSANCE SURGICAL ARTS AT NEWPORT HARBOR, LLC
NPI 1659685881
Clinic/Center - Ambulatory Surgical in Costa Mesa, CA

Active since July 29, 2010
1640 NEWPORT BLVD STE 100, COSTA MESA, CA 92627(949) 629-1400(949) 629-1500 Get Directions Write a Review

NPPES record last updated: September 26, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Renaissance Surgical Arts At Newport Harbor, Llc NPPES

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

RENAISSANCE SURGICAL ARTS AT NEWPORT HARBOR, LLC (NPI 1659685881) is a healthcare organization registered as an ambulatory surgical in Costa Mesa, California and active in the NPI registry since July 2010. The organization lists Bruce Wallace, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659685881
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameRENAISSANCE SURGICAL ARTS AT NEWPORT HARBOR, LLC
Location Address1640 NEWPORT BLVD STE 100Costa Mesa, CA 92627-3786
Mailing Address1640 Newport Blvd Ste 100Costa Mesa, CA 92627-3786 · (949) 629-1400 · Fax (949) 629-1500
Fax(949) 629-1500
Organization SubpartNo
Authorized OfficialBruce WallaceCeo · (949) 629-1400
Enumeration DateJuly 29, 2010
Last NPPES UpdateSeptember 26, 2011
NPI 1659685881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1640 NEWPORT BLVD STE 100, Costa Mesa, CA 92627

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Gastroenterology)
1640 NEWPORT BLVD STE 100
COSTA MESA, CA 92627
Physician Assistant
1640 NEWPORT BLVD STE 100
COSTA MESA, CA 92627
Anesthesiology
1640 NEWPORT BLVD STE 100
COSTA MESA, CA 92627
Anesthesiology
1640 NEWPORT BLVD STE 100
COSTA MESA, CA 92627
Anesthesiology
1640 NEWPORT BLVD STE 100
COSTA MESA, CA 92627

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 Renaissance Surgical Arts At Newport Harbor, LLC's NPI number?

The NPI number for Renaissance Surgical Arts At Newport Harbor, LLC is 1659685881. It was assigned to this organization in the NPPES registry on July 29, 2010.

Where is Renaissance Surgical Arts At Newport Harbor, LLC located?

Renaissance Surgical Arts At Newport Harbor, LLC is located at 1640 Newport Blvd Ste 100, Costa Mesa, CA 92627. The listed phone number is (949) 629-1400.

What is Renaissance Surgical Arts At Newport Harbor, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Renaissance Surgical Arts At Newport Harbor, LLC was last updated on September 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.