Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broad Reach Specialty Surgery Inc

Organization Vascular & Interventional Radiology Physician · NPI 1568971869

Broad Reach Specialty Surgery Inc is a Vascular & Interventional Radiology Physician in Irvine, California. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1400 Reynolds Ave Ste 200
Irvine, CA 92614-5563
Phone: (949) 387-4724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X

Record details

NPI number1568971869
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Hewett — President · (949) 387-4724
NPI enumeratedSeptember 29, 2017
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing address1400 Reynolds Ave Ste 200, Irvine, CA 92614-5563

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