OrganizationActive
Elite Surgical
NPI 1669975595 · Surgery Physician · Newport Beach, CA
Provider details
- NPI number
- 1669975595
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tammy Poliquin, Office Mgr(949) 722-7662
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
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
496 Old Newport Blvd Ste 6
Newport Beach, CA 92663-4264
Phone: (949) 722-7662
Fax: (949) 631-6585
Street-level locationGet directions
Mailing address
496 Old Newport Blvd Ste 6
Newport Beach, CA 92663-4264
Registry dates
- Enumerated
- 2018-03-16
- Last updated
- 2018-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.