BOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION
NPI 1962500454
Clinic/Center - Ambulatory Surgical in Westminster, CA

Active since September 20, 2006CLIA 05D1006732 · Waiver
10362 BOLSA AVE STE 100, WESTMINSTER, CA 92683(714) 775-5690(714) 775-7405 Get Directions Write a Review

NPPES record last updated: July 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bolsa Outpatient Surgery Center A Medical Corporation NPPES

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

BOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION (NPI 1962500454) is a healthcare organization registered as an ambulatory surgical in Westminster, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through May 1, 2028 and lists Co D.l. Pham, President, as its authorized official.

NPPES Registry Identity

NPI1962500454
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION
Location Address10362 BOLSA AVE STE 100Westminster, CA 92683-6763
Mailing Address10362 Bolsa Ave Ste 100Westminster, CA 92683-6763 · (714) 775-5690 · Fax (714) 775-7405
Fax(714) 775-7405
Organization SubpartNo
Authorized OfficialCo D.l. PhamPresident · (714) 775-5690
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 13, 2017
NPI 1962500454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
10362 BOLSA AVE STE 100, Westminster, CA 92683

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 05D1006732

Bolsa Outpatient Surgery Center A Medical Corporation · Westminster, CA
Active · expires May 1, 2028
CLIA Number05D1006732
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 2, 2026
Certificate Expiration DateMay 1, 2028
Laboratory DirectorDzu Tran
Laboratory Phone(714) 775-5690
Laboratory LocationBolsa Outpatient Surgery Center A Medical Corporation10362 Bolsa Ave #100, Westminster, CA 92683
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

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.
114 services104 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
53 services53 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
33 services33 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
27 services27 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
24 services22 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
17 services16 patients

Other Providers at the Same Location NPPES 2

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

Pediatrics
10362 BOLSA AVE STE 100
WESTMINSTER, CA 92683
Internal Medicine
10362 BOLSA AVE STE 100
WESTMINSTER, CA 92683

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 Bolsa Outpatient Surgery Center A Medical Corporation's NPI number?

The NPI number for Bolsa Outpatient Surgery Center A Medical Corporation is 1962500454. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Bolsa Outpatient Surgery Center A Medical Corporation located?

Bolsa Outpatient Surgery Center A Medical Corporation is located at 10362 Bolsa Ave Ste 100, Westminster, CA 92683. The listed phone number is (714) 775-5690.

What is Bolsa Outpatient Surgery Center A Medical Corporation's specialty?

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

Does Bolsa Outpatient Surgery Center A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1006732) is associated with this NPI, valid through May 1, 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 Bolsa Outpatient Surgery Center A Medical Corporation was last updated on July 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.