Broad Reach Specialty Surgery Inc
NPI 1568971869 · Vascular & Interventional Radiology Physician · Irvine, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Broad Reach Specialty Surgery Inc is a Vascular & Interventional Radiology Physician organization in Irvine, CA (NPI 1568971869).
Provider details
- NPI number
- 1568971869
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Hewett, President(949) 387-4724
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- 2017-09-29
- Last updated
- 2025-04-07
- Certified
- 2025-04-07
Frequently asked questions
- What is Broad Reach Specialty Surgery Inc's NPI number?
- Broad Reach Specialty Surgery Inc's National Provider Identifier (NPI) is 1568971869, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broad Reach Specialty Surgery Inc?
- Broad Reach Specialty Surgery Inc is classified in the NPPES registry as Vascular & Interventional Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Broad Reach Specialty Surgery Inc located?
- Broad Reach Specialty Surgery Inc's practice location on file with NPPES is 1400 Reynolds Ave Ste 200, Irvine, CA 92614-5563.
- What is Broad Reach Specialty Surgery Inc's phone number?
- The practice phone number listed in the NPPES registry for Broad Reach Specialty Surgery Inc is (949) 387-4724.
- Does Broad Reach Specialty Surgery Inc accept Medicare?
- Broad Reach Specialty Surgery Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Broad Reach Specialty Surgery Inc?
- The authorized official listed on Broad Reach Specialty Surgery Inc's NPPES record is John Hewett, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broad Reach Specialty Surgery Inc's NPI active?
- Yes — Broad Reach Specialty Surgery Inc's NPI (1568971869) is active in the NPPES registry as of the last update on 2025-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.