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

Providence Specialty Surgery Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1861180671

Providence Specialty Surgery Center LLC is an Ambulatory Surgical Clinic/Center in Orange, California. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1310 W Stewart Dr Ste 310
Orange, CA 92868-3838
Phone: (714) 204-0444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1861180671
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamshid Shadjareh — Chairman, Governing Body · (714) 204-0444
NPI enumeratedApril 28, 2023
Last updated in NPPESApril 28, 2023
Certification dateApril 28, 2023
Mailing address1310 W Stewart Dr Ste 310, Orange, CA 92868-3838

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