South Coast Outpatient Surg Ctr Balboa Surgery Center
NPI 1053545905 · Ambulatory Surgical Clinic/Center · Corona Del Mar, CA
South Coast Outpatient Surg Ctr Balboa Surgery Center is a Ambulatory Surgical Clinic/Center organization in Corona Del Mar, CA (NPI 1053545905).
Provider details
- NPI number
- 1053545905
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Niccole, Medical Director(310) 792-3914
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- South Coast Outpatient Surgery Center
Registry dates
- Enumerated
- 2009-05-06
- Last updated
- 2018-10-30
Frequently asked questions
- What is South Coast Outpatient Surg Ctr Balboa Surgery Center's NPI number?
- South Coast Outpatient Surg Ctr Balboa Surgery Center's National Provider Identifier (NPI) is 1053545905, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Coast Outpatient Surg Ctr Balboa Surgery Center?
- South Coast Outpatient Surg Ctr Balboa Surgery Center is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is South Coast Outpatient Surg Ctr Balboa Surgery Center located?
- South Coast Outpatient Surg Ctr Balboa Surgery Center's practice location on file with NPPES is 1101 Bayside Dr, Corona Del Mar, CA 92625-1702.
- What is South Coast Outpatient Surg Ctr Balboa Surgery Center's phone number?
- The practice phone number listed in the NPPES registry for South Coast Outpatient Surg Ctr Balboa Surgery Center is (949) 718-6900.
- Who is the authorized official for South Coast Outpatient Surg Ctr Balboa Surgery Center?
- The authorized official listed on South Coast Outpatient Surg Ctr Balboa Surgery Center's NPPES record is Michael Niccole, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Coast Outpatient Surg Ctr Balboa Surgery Center's NPI active?
- Yes — South Coast Outpatient Surg Ctr Balboa Surgery Center's NPI (1053545905) is active in the NPPES registry as of the last update on 2018-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.