FASHION ISLAND SURGERY CENTER - NEWPORT BEACH
NPI 1780357616
Clinic/Center - Ambulatory Surgical in Newport Beach, CA
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.Information from the official NPPES registry record, last updated October 16, 2023.
NPPES Registry Identity
★ Primary Specialty
Also on File with NPPES
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2241022
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- October 25, 2025
- Certificate Expiration Date
- October 24, 2027
- Laboratory Director
- DANIEL KIM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fashion Island Surgery Center - Newport Beach to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for FASHION ISLAND SURGERY CENTER - NEWPORT BEACH
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780357616, enumerated as an "organization" on July 27, 2021.
The provider is located at 1441 AVOCADO AVE STE 100 NEWPORT BEACH, CA 92660 and the phone number is (714) 658-4215.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
