Organization provider

BROAD REACH SPECIALTY SURGERY INC

Vascular & Interventional Radiology Physician Medicare enrolled

BROAD REACH SPECIALTY SURGERY INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1568971869, based in Irvine, CA. It is classified under Vascular & Interventional Radiology Physician.

Getting there

The practice address on file is 1400 REYNOLDS AVE STE 200, Irvine, CA 92614. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1400 REYNOLDS AVE STE 200, Irvine, CA 92614 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
3678834991
Enrollment ID
O20180301002229

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Vascular & Interventional Radiology covers

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. NUCC Health Care Provider Taxonomy, code 2085R0204X
Allopathic & Osteopathic Physicians Radiology Vascular & Interventional Radiology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1568971869 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateSep 29, 2017
Last updatedApr 7, 2025
StatusActive
Practice address 1400 REYNOLDS AVE STE 200
Irvine, CA 92614
(949) 387-4724
This record was updated on Apr 7, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1568971869 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 5 6 8 9 7 1 8 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 3 8 9 7 2 8 3

Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1568971869?
NPI 1568971869 is the National Provider Identifier assigned to BROAD REACH SPECIALTY SURGERY INC in Irvine, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Vascular & Interventional Radiology cover?
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
How do I contact BROAD REACH SPECIALTY SURGERY INC?
The phone number on file with NPPES is (949) 387-4724, last updated Apr 7, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does BROAD REACH SPECIALTY SURGERY INC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1568971869 a valid number?
Yes. 1568971869 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.