FASHION ISLAND SURGERY CENTER - NEWPORT BEACH
NPI 1780357616
Clinic/Center - Ambulatory Surgical in Newport Beach, CA

Active since July 27, 2021CLIA 05D2241022 · Waiver
1441 AVOCADO AVE STE 100, NEWPORT BEACH, CA 92660(714) 658-4215 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 16, 2023, Dec 11, 2021, Aug 3, 2021 and 1 more (4 updates tracked since 2021).

About Fashion Island Surgery Center - Newport Beach NPPES

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

FASHION ISLAND SURGERY CENTER - NEWPORT BEACH (NPI 1780357616) is a healthcare organization registered as an ambulatory surgical in Newport Beach, California and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through October 24, 2027 and lists Matthew Shea, Administrator, as its authorized official.

NPPES Registry Identity

NPI1780357616
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCALIFORNIA SURGICAL COOPERATIVE LLC
Location Address1441 AVOCADO AVE STE 100Newport Beach, CA 92660-7702
Mailing Address1441 Avocado Ave Ste 100Newport Beach, CA 92660-7702 · (949) 209-5960 · Fax (949) 209-5961
Organization SubpartNo
Authorized OfficialMatthew SheaAdministrator · (714) 658-4215
Enumeration DateJuly 27, 2021
Last NPPES UpdateOctober 16, 20234 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
NPI 1780357616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1441 AVOCADO AVE STE 100, Newport Beach, CA 92660

Other Names 1

Doing Business AsFashion Island Surgery Center - Newport Beach

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 05D2241022

Fashion Island Surgery Center · Newport Beach, CA
Active · expires Oct 24, 2027
CLIA Number05D2241022
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 25, 2025
Certificate Expiration DateOctober 24, 2027
Laboratory DirectorDaniel Kim
Laboratory Phone(949) 209-5960
Laboratory LocationFashion Island Surgery Center1441 Avocado Ave Ste #100, Newport Beach, CA 92660
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 California Surgical Cooperative LLC's NPI number?

The NPI number for California Surgical Cooperative LLC is 1780357616. It was assigned to this organization in the NPPES registry on July 27, 2021. The provider is doing business as Fashion Island Surgery Center - Newport Beach.

Where is California Surgical Cooperative LLC located?

California Surgical Cooperative LLC is located at 1441 Avocado Ave Ste 100, Newport Beach, CA 92660. The listed phone number is (714) 658-4215.

What is California Surgical Cooperative LLC's specialty?

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

Does California Surgical Cooperative LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2241022) is associated with this NPI, valid through October 24, 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 California Surgical Cooperative LLC was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.