Providence Specialty Surgery Center LLC
NPI 1861180671 · Ambulatory Surgical Clinic/Center · Orange, CA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Specialty Surgery Center LLC is a Ambulatory Surgical Clinic/Center organization in Orange, CA (NPI 1861180671).
Provider details
- NPI number
- 1861180671
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jamshid Shadjareh, Chairman, Governing Body(714) 204-0444
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
3 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
- 2023-04-28
- Last updated
- 2023-04-28
- Certified
- 2023-04-28
Frequently asked questions
- What is Providence Specialty Surgery Center LLC's NPI number?
- Providence Specialty Surgery Center LLC's National Provider Identifier (NPI) is 1861180671, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Specialty Surgery Center LLC?
- Providence Specialty Surgery Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Providence Specialty Surgery Center LLC located?
- Providence Specialty Surgery Center LLC's practice location on file with NPPES is 1310 W Stewart Dr Ste 310, Orange, CA 92868-3838.
- What is Providence Specialty Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Specialty Surgery Center LLC is (714) 204-0444.
- Does Providence Specialty Surgery Center LLC accept Medicare?
- Providence Specialty Surgery Center LLC 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 Providence Specialty Surgery Center LLC?
- The authorized official listed on Providence Specialty Surgery Center LLC's NPPES record is Jamshid Shadjareh, Chairman, Governing Body. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Specialty Surgery Center LLC's NPI active?
- Yes — Providence Specialty Surgery Center LLC's NPI (1861180671) is active in the NPPES registry as of the last update on 2023-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.