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ORANGE ASC, LLC
NPI 1780059014
Clinic/Center - Ambulatory Surgical in Santa Ana, CA

Active since December 11, 2015CLIA 05D2113086 · Waiver
1403 N TUSTIN AVE STE 100, SANTA ANA, CA 92705(626) 269-5311(626) 574-7188 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 12, 2022, Dec 11, 2015 (2 updates tracked since 2015).

About Orange Asc, Llc NPPES

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

ORANGE ASC, LLC (NPI 1780059014) is a healthcare organization registered as an ambulatory surgical in Santa Ana, California and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through May 15, 2028 and lists Tom S Chang, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780059014
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameORANGE ASC, LLC
Location Address1403 N TUSTIN AVE STE 100Santa Ana, CA 92705-8691
Mailing Address100 E California BlvdPasadena, CA 91105-3205 · (626) 269-5311 · Fax (626) 574-7188
Phone(626) 269-5311
Fax(626) 574-7188
Organization SubpartNo
Authorized OfficialTom S ChangCeo · (626) 676-0838
Enumeration DateDecember 11, 2015
Last NPPES UpdateOctober 12, 20222 updates tracked since enumeration
NPPES CertifiedOctober 12, 2022
✔ NPI 1780059014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1403 N TUSTIN AVE STE 100, Santa Ana, CA 92705
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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 05D2113086

Orange ASC, LLC · Santa Ana, CA
Active · expires May 15, 2028
CLIA Number05D2113086
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 16, 2026
Certificate Expiration DateMay 15, 2028
Laboratory DirectorDr. Jessica Boeckmann
Laboratory Phone(714) 633-1338
Laboratory LocationOrange ASC, LLC1403 N Tustin Ave, Suite 100, Santa Ana, CA 92705
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
183 services119 patients

Other Providers at the Same Location NPPES

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

SAN GABRIEL ANESTHESIA ASSOCIATES, PC
Nurse Anesthetist, Certified Registered
1403 N TUSTIN AVE STE 100
SANTA ANA, CA 92705
Orange County (714) 633-1338

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 Orange ASC, LLC's NPI number?

The NPI number for Orange ASC, LLC is 1780059014. It was assigned to this organization in the NPPES registry on December 11, 2015.

Where is Orange ASC, LLC located?

Orange ASC, LLC is located at 1403 N Tustin Ave Ste 100, Santa Ana, CA 92705. The listed phone number is (626) 269-5311.

What is Orange ASC, LLC's specialty?

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

Does Orange ASC, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2113086) is associated with this NPI, valid through May 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Orange ASC, LLC was last updated on October 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.