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

Susan Samueli Center

Organization Multi-Specialty Clinic/Center · NPI 1114317872

Susan Samueli Center is a Multi-Specialty Clinic/Center in Costa Mesa, California. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

1202 Bristol St Ste 200
Costa Mesa, CA 92626-8605
Phone: (714) 424-9001
Fax: (714) 424-9005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1114317872
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRegents of the University of California
Authorized official John Heydt — Chief Executive Officer · (714) 456-2986
NPI enumeratedFebruary 2, 2015
Last updated in NPPESFebruary 2, 2015
Mailing addressPo Box 54509, Los Angeles, CA 90054-0509

Other providers in Costa Mesa