1. Home
  2. Directory
  3. California
  4. Newport Beach
  5. Surgery
  6. NPI Profile

ELITE SURGICAL
NPI 1669975595
Surgery in Newport Beach, CA

Active since March 16, 2018
496 OLD NEWPORT BLVD STE 6, NEWPORT BEACH, CA 92663(949) 722-7662(949) 631-6585 Get Directions Write a Review

NPPES record last updated: March 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elite Surgical NPPES

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

ELITE SURGICAL (NPI 1669975595) is a healthcare organization registered as a surgery in Newport Beach, California and active in the NPI registry since March 2018. The organization lists Tammy Poliquin, Office Mgr, as its authorized official.

NPPES Registry Identity

NPI1669975595
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameELITE SURGICAL
Location Address496 OLD NEWPORT BLVD STE 6Newport Beach, CA 92663-4264
Mailing Address496 Old Newport Blvd Ste 6Newport Beach, CA 92663-4264 · (949) 722-7662 · Fax (949) 631-6585
Phone(949) 722-7662
Fax(949) 631-6585
Organization SubpartNo
Authorized OfficialTammy PoliquinOffice Mgr · (949) 722-7662
Enumeration DateMarch 16, 2018
✔ NPI 1669975595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
496 OLD NEWPORT BLVD STE 6, Newport Beach, CA 92663
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Elite Surgical's NPI number?

The NPI number for Elite Surgical is 1669975595. It was assigned to this organization in the NPPES registry on March 16, 2018.

Where is Elite Surgical located?

Elite Surgical is located at 496 Old Newport Blvd Ste 6, Newport Beach, CA 92663. The listed phone number is (949) 722-7662.

What is Elite Surgical's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Elite Surgical was last updated on March 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.