MAIN STREET SPECIALTY SURGERY CENTER NPI 1891782264

Clinic/Center (Ambulatory Surgical) in Orange, CA

NPI 1891782264 Organization Clinic/Center Ambulatory Surgical

About MAIN STREET SPECIALTY SURGERY CENTER

Main Street Specialty Surgery Center is a provider established in Orange, California specializing in clinic/center (ambulatory surgical) . The NPI number of Main Street Specialty Surgery Center is 1891782264 and was assigned on September 2005. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mrs. Tammy Tanner (Business Administration)

NPI

1891782264

Provider NameMAIN STREET SPECIALTY SURGERY CENTER
Provider Location Address280 S MAIN ST SUITE 100 ORANGE, CA 92868
Provider Mailing Address280 S MAIN ST SUITE 100 ORANGE, CA 92868
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-30-2005
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code261QA1903X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationAmbulatory Surgical
License StateCA

Business Address

MAIN STREET SPECIALTY SURGERY CENTER
280 S MAIN ST
SUITE 100
ORANGE, CA
ZIP 92868
Phone: (714) 704-1900
Fax: (714) 704-1912

Get Directions


Mailing Address

MAIN STREET SPECIALTY SURGERY CENTER
280 S MAIN ST
SUITE 100
ORANGE, CA
ZIP 92868
Phone: (714) 704-1900
Fax: (714) 704-1912



Authorized Official

Authorized Official NameMRS. TAMMY TANNER
Authorized Official TitleBUSINESS ADMINISTRATION
Authorized Official Phone(714) 704-1900

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073500351 PABLO P PRIETTO MD
Individual
Orthopaedic Surgery280 S MAIN ST SUITE 200
ORANGE, CA 92868
(714) 634-4567
1871580159 DAVID C SMITH MD
Individual
Orthopaedic Surgery280 S MAIN ST STE 200
ORANGE, CA 92868
(714) 634-4567
1750378030 STEVEN L BARNETT MD
Individual
Orthopaedic Surgery280 S MAIN ST
ORANGE, CA 92868
(714) 634-4567
1114914397 MARK N HALIKIS MD
Individual
Orthopaedic Surgery (Hand Surgery)280 S MAIN ST SUITE 200
ORANGE, CA 92868
(714) 634-4567
1003803115 TOM CHOW PA-C
Individual
Physician Assistant280 S MAIN ST STE 200
ORANGE, CA 92868
(714) 634-4567
1659368777 MICHAEL I DANTO MD
Individual
Physical Medicine & Rehabilitation280 S MAIN ST STE 200
ORANGE, CA 92868
(714) 634-4567
1386631406 LAWRENCE S BARNETT MD
Individual
Orthopaedic Surgery280 S MAIN ST STE 200
ORANGE, CA 92868
(714) 634-4567
1851336416MISS HAZEL H. ANDO A.T.,C.
Individual
Specialist/Technologist (Athletic Trainer)280 S MAIN ST
ORANGE, CA 92868
(714) 937-2157
1336228832ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY
Organization
Orthopaedic Surgery280 S MAIN ST SUITE 200
ORANGE, CA 92868
(714) 634-4567
1699980128NARENDRA L. PARSON MD INC
Organization
Anesthesiology280 S MAIN ST SUITE 100
ORANGE, CA 92868
(714) 704-1900
1619182151 BRIAN JOSEPH DONOGHUE M.D.
Individual
Anesthesiology280 S MAIN ST SUITE 100
ORANGE, CA 92868
(714) 704-1900
1740495274 NARENDRA L PARSON M.D.
Individual
Anesthesiology280 S MAIN ST SUITE 100
ORANGE, CA 92868
(714) 704-1900
1699985796DR. PULAHINGE DHANAPALA RODRIGO M.D.
Individual
Anesthesiology280 S MAIN ST SUITE 100
ORANGE, CA 92868
(714) 704-1900
1891993150 DAVID WILLIAM KRUSE MD
Individual
Family Medicine (Sports Medicine)280 S MAIN ST SUITE 200
ORANGE, CA 92868
(714) 634-4567
1518159961 PAUL THANG DINH M.D.
Individual
Orthopaedic Surgery (Hand Surgery)280 S MAIN ST STE #200
ORANGE, CA 92868
(714) 634-4567
1508055393DR. ROBERT CARLYLE GRUMET M.D.
Individual
Orthopaedic Surgery (Sports Medicine)280 S MAIN ST SUITE 200
ORANGE, CA 92868
(714) 634-4567
1528214525P DHANAPALA RODRIGO MD A MEDICAL CORP
Organization
Anesthesiology280 S MAIN ST SUITE 100
ORANGE, CA 92868
(714) 704-1900
1942440334 TREANNA LYNNE MATHER P.A.
Individual
Physician Assistant (Surgical)280 S MAIN ST 200
ORANGE, CA 92868
(714) 634-4567
1215924592 SUSANNE L PORTER NP
Individual
Nurse Practitioner280 S MAIN ST STE 200
ORANGE, CA 92868
(714) 634-4567
1205823580 RODOLPHO M SOLORZANO PAC
Individual
Physician Assistant280 S MAIN ST STE 200
ORANGE, CA 92868
(714) 634-4567

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.