SOCAL SURGICAL SPECIALTIES, LLC. (NPI# 1538640958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538640958 |
| Entity Type | Organization |
| Organization Name | SOCAL SURGICAL SPECIALTIES, LLC. |
| Practice Address |
900 Wilshire Blvd Santa Monica CA 90401-1872 |
| Practice Telephone | 3103159211 |
| Mailing Telephone | 3103159211 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2019-10-17 |
| Authorized Official Name | CHIA C KAO (PRESIDENT) |
| Authorized Official Telephone | 3103159211 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
900 WILSHIRE BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90401-1872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801879804 | Goldfarb Rx Enterprises Inc | Pharmacy Technician | 900 Wilshire Blvd, Suite 140, Santa Monica, CA 90401-1872 | 2005-11-22 |
| 1194174029 | Ashley S Humston | Acupuncturist | 900 Wilshire Blvd, Suite 318, Santa Monica, CA 90401-1872 | 2016-06-10 |
| 1356799100 | Strongharte Fitness & Physical | Physical Therapist | 900 Wilshire Blvd, Suite 318, Santa Monica, CA 90401-1872 | 2016-06-01 |
| 1871958603 | Daniel Stewart | Marriage & Family Therapist | 900 Wilshire Blvd, Suite 314, Santa Monica, CA 90401-1872 | 2015-12-21 |
| 1932519899 | Glenda Maramba | Acupuncturist | 900 Wilshire Blvd, Suite 318, Santa Monica, CA 90401-1872 | 2014-04-30 |
| 1427481902 | Ivan Daniel Vicario | Physical Therapist | 900 Wilshire Blvd, 315, Santa Monica, CA 90401-1872 | 2013-08-20 |
| 1881030989 | Soultice Health Moves | Naturopath | 900 Wilshire Blvd, Suite 314, Santa Monica, CA 90401-1872 | 2013-05-15 |
| 1720323702 | Sofia Costa | Physical Therapist | 900 Wilshire Blvd, Suit #318, Santa Monica, CA 90401-1872 | 2012-12-03 |
| 1790078616 | Murray Clarke | Nutritionist | 900 Wilshire Blvd, Suite 405, Santa Monica, CA 90401-1872 | 2011-05-25 |
| 1588967632 | Samantha Blake Harte | Physical Therapist | 900 Wilshire Blvd, Suite 315, Santa Monica, CA 90401 | 2010-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499458 | Franchesca Johnson Gordon | Marriage & Family Therapist | 900 Wilshire Blvd., Ste. 450, Santa Monica, CA 90401 | 2018-09-01 |
| 1629564083 | Michelle Jillian Dolinsky | Social Worker | 1243 7th St Ste C, Santa Monica, CA 90401 | 2018-07-09 |
| 1528507084 | Doctor Tlc, License Clinical Psychologist, Inc. | Community/Behavioral Health | 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 | 2017-02-16 |
| 1285006023 | Venessa Leeann Roca | Speech-Language Pathologist | 1218 6th Street, Santa Monica, CA 90401 | 2015-10-20 |
| 1720468036 | Stephen J. Kenneally | Marriage & Family Therapist | 610 Santa Monica Bvd, Ste. 201, Santa Monica, CA 90401 | 2015-06-02 |
| 1629458070 | Dominique L Robertson | Marriage & Family Therapist | 530 Wilshire, #310, Santa Monica, CA 90401 | 2015-06-01 |
| 1205252673 | Santa Monica Sports Medicine Inc. | Physical Medicine & Rehabilitation | 900 Wilshire Blvd. #410, Santa Monica, CA 90401 | 2014-03-10 |
| 1154675023 | Sherry Marie Martyn | Psychologist | 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 | 2012-10-31 |
| 1700159829 | Gary Warburton | Dentist | 519 Arizona Ave., Santa Monica, CA 90401 | 2012-02-21 |
| 1265713036 | Aleksandr Mailyan | Reflexologist | 201 Wilshire Blvd #101, Santa Monica, CA 90401 | 2011-09-07 |
| Find all providers in zip 90401 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255972642 | Santa Monica Advanced Surgical Institute LLC | Clinic/Center | 1908 Santa Monica Blvd Ste 5, Santa Monica, CA 90404-1927 | 2019-10-07 |
| 1083255616 | Younique Surgery Center | Clinic/Center | 1317 5th St Ste 301, Santa Monica, CA 90401-1459 | 2019-10-04 |
| 1558802249 | Source Surgery Center LLC | Clinic/Center | 2801 Wilshire Blvd, Santa Monica, CA 90403-4801 | 2017-03-14 |
| 1912369703 | Select Surgical, A Medical Corporation | Clinic/Center | 1223 Wilshire Blvd Ste 594, Santa Monica, CA 90403-5406 | 2016-03-22 |
| 1144502170 | Omega Surgical Center, Inc. | Clinic/Center | 2730 Wilshire Blvd Ste 500, Santa Monica, CA 90403-4752 | 2011-09-15 |
| 1235376674 | Core Surgery Center Inc | Clinic/Center | 2336 Santa Monica Blvd Ste 304, Santa Monica, CA 90404-2067 | 2009-01-07 |
| 1053556670 | Santa Monica Outpatient Surgery Center | Clinic/Center | 2001 Santa Monica Blvd., Suite 1180w, Santa Monica, CA 90404 | 2008-12-10 |
| 1679694392 | Directed Interventional Surgery Ctr Inc A Professional Medical Corp | Clinic/Center | 2827 Wilshire Blvd, Santa Monica, CA 90403-4801 | 2007-04-02 |
| 1578605044 | Broadway Surgical Institute, LLC | Clinic/Center | 1451 S Broadway Street, Santa Monica, CA 90404-1811 | 2007-02-13 |
| 1740335744 | Aesthetic Surgical Center of Santa Monica | Clinic/Center | 1301 20th St Ste 350, Santa Monica, CA 90404-2052 | 2007-01-23 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.