Susan Samueli Center
NPI 1114317872 · Multi-Specialty Clinic/Center · Costa Mesa, CA
Susan Samueli Center is a Multi-Specialty Clinic/Center organization in Costa Mesa, CA (NPI 1114317872).
Provider details
- NPI number
- 1114317872
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Regents of the University of California
- Organization subpart
- Yes
- Authorized official
- John Heydt, Chief Executive Officer(714) 456-2986
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
11 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
Registry dates
- Enumerated
- 2015-02-02
- Last updated
- 2015-02-02
Frequently asked questions
- What is Susan Samueli Center's NPI number?
- Susan Samueli Center's National Provider Identifier (NPI) is 1114317872, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Susan Samueli Center?
- Susan Samueli Center is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Susan Samueli Center located?
- Susan Samueli Center's practice location on file with NPPES is 1202 Bristol St, Costa Mesa, CA 92626-8605.
- What is Susan Samueli Center's phone number?
- The practice phone number listed in the NPPES registry for Susan Samueli Center is (714) 424-9001.
- Who is the authorized official for Susan Samueli Center?
- The authorized official listed on Susan Samueli Center's NPPES record is John Heydt, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Susan Samueli Center's NPI active?
- Yes — Susan Samueli Center's NPI (1114317872) is active in the NPPES registry as of the last update on 2015-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.