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SOUTH COAST SPECIALTY SURGERY CENTER, INC.
NPI 1932413176
Clinic/Center - Ambulatory Surgical in Costa Mesa, CA

Active since July 29, 2010CLIA 05D2015598 · Waiver
3420 BRISTOL ST, SUITE 750, COSTA MESA, CA 92626(714) 708-3737(714) 708-3773 Get Directions Write a Review

NPPES record last updated: July 29, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Coast Specialty Surgery Center, Inc. NPPES

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

SOUTH COAST SPECIALTY SURGERY CENTER, INC. (NPI 1932413176) is a healthcare organization registered as an ambulatory surgical in Costa Mesa, California and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through October 28, 2026 and lists Homan Mahallati, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1932413176
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOUTH COAST SPECIALTY SURGERY CENTER, INC.
Location Address3420 BRISTOL ST, SUITE 750Costa Mesa, CA 92626-7170
Mailing Address3420 Bristol St, Suite 750Costa Mesa, CA 92626-7170 · (714) 708-3737 · Fax (714) 708-3773
Phone(714) 708-3737
Fax(714) 708-3773
Organization SubpartNo
Authorized OfficialHoman MahallatiMedical Director · (714) 708-3737
Enumeration DateJuly 29, 2010
✔ NPI 1932413176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CA · 3919
3420 BRISTOL ST, Costa Mesa, CA 92626
Open in Google Maps ↗

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 05D2015598

South Coast Specialty Surgery Center Inc · Costa Mesa, CA
Active · expires Oct 28, 2026
CLIA Number05D2015598
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorHoman Mahallati
Laboratory Phone(714) 708-3737
Laboratory LocationSouth Coast Specialty Surgery Center Inc3420 Bristol Street Suite 750, Costa Mesa, CA 92626
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

SURGERY CENTER AT SOUTH COAST PLAZA
Clinic/Center (Ambulatory Surgical)
3420 BRISTOL ST, SUITE 701
COSTA MESA, CA 92626
Orange County (714) 619-2658
SOUTH COAST SURGICAL CARE, INC.
Clinic/Center (Ambulatory Surgical)
3420 BRISTOL ST, SUITE 750
COSTA MESA, CA 92626
Orange County (714) 432-1438
NEWPORT NEUROSPINE SPECIALISTS APC
Neurological Surgery
3420 BRISTOL ST, SUITE 700
COSTA MESA, CA 92626
Orange County (949) 284-0575
VISION LINK INC
Ophthalmology
3420 BRISTOL ST, SUITE 700
COSTA MESA, CA 92626
Orange County (714) 957-0273
INTEGRATIVE HEALTH SERVICES, INC
Specialist
3420 BRISTOL ST, SUITE 205
COSTA MESA, CA 92626
Orange County (714) 843-9338
NEWPORT CARE MEDICAL GROUP INC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
3420 BRISTOL ST, SUITE 700
COSTA MESA, CA 92626
Orange County (949) 722-1112
ROSE EYE MEDICAL
Specialist
3420 BRISTOL ST, SUITE 700
COSTA MESA, CA 92626
Orange County (714) 957-0273

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 South Coast Specialty Surgery Center, Inc.'s NPI number?

The NPI number for South Coast Specialty Surgery Center, Inc. is 1932413176. It was assigned to this organization in the NPPES registry on July 29, 2010.

Where is South Coast Specialty Surgery Center, Inc. located?

South Coast Specialty Surgery Center, Inc. is located at 3420 Bristol St Suite 750, Costa Mesa, CA 92626. The listed phone number is (714) 708-3737.

What is South Coast Specialty Surgery Center, Inc.'s specialty?

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

Does South Coast Specialty Surgery Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2015598) is associated with this NPI, valid through October 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Coast Specialty Surgery Center, Inc. was last updated on July 29, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.