PHYSICIAN ASSISTANT SURGICAL SPECIALISTS, INC.


Address: 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303
Phone: 3109373919

PHYSICIAN ASSISTANT SURGICAL SPECIALISTS, INC. (NPI# 1548547532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548547532
Entity Type Organization
Organization Name PHYSICIAN ASSISTANT SURGICAL SPECIALISTS, INC.
Practice Address 2121 Santa Monica Blvd
Santa Monica
CA 90404-2303
Mailing Address 2118 Wilshire Blvd
#1171
Santa Monica
CA 90403-5704
Practice Telephone 3109373919
Mailing Telephone 3109373919
Mailing Fax Number 3103769037
Enumeration Date 2011-11-04
Last Update Date 2011-11-04
Authorized Official Name MS. SHERRYL ANN BEH (CEO)
Authorized Official Telephone 3109373919
Authorized Official Credential PA-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2121 SANTA MONICA BLVD
City SANTA MONICA
State CA
Zip Code 90404-2303

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528062023 Lisa Martine Chaiken Radiology 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2005-06-13
1003428673 Geremy Zhang Registered Nurse 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2020-08-17
1376152082 Jennifer Scheller Student in an Organized Health Care Education/Training Program 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2020-07-28
1710518881 Niceto Lopez, M.d., A.p.c. Internal Medicine 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2020-01-28
1780223412 Genevieve Abanilla Veneracion Nurse Practitioner 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2019-12-28
1013560515 Breanne Grazer Nurse Practitioner 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2019-07-23
1104310002 Michelle Padilla Martinez Nurse Practitioner 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2018-06-15
1952815714 Frania Julianne Ciszewski Nurse Practitioner 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2017-11-30
1609388271 Tara Jean Kays Nurse Practitioner 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2017-11-03
1770093734 Providence Saint Johns Medical Foundation Family Medicine 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2017-10-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306453352 Jasmine Burton Physical Therapist 1714 17th Street, Santa Monica, CA 90404 2020-09-24
1003431685 Cintia Haydee Ctibor Behavior Technician 1869 9th Street, Santa Monica, CA 90404 2020-06-10
1073137261 Sydney Kristine Valerio Counselor 1869 9th St, Santa Monica, CA 90404 2020-06-03
1710507082 James Gilbert Cunningham Marriage & Family Therapist 1708 Olympic Blvd, Santa Monica, CA 90404 2020-04-16
1841763687 Crystal Monique Mckinley X Counselor 1865 9th St, Santa Monica, CA 90404 2019-01-04
1952872749 Cesar O Munoz Licensed Vocational Nurse 1865 9th St., Santa Monica, CA 90404 2018-12-06
1023596574 Joseph J Pinzone Md Inc Internal Medicine 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 2018-08-06
1548763535 Alan Rubenstein Dds Inc Dentist 1260 15th St., #703, Santa Monica, CA 90404 2018-03-15
1669993382 Aaron Wilson Counselor 1453 16th Street, Santa Monica, CA 90404 2017-07-03
1922472471 Chianni Lin Acupuncturist 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 2015-11-20
Find all providers in zip 90404

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992044770 Jennifer Anzo Physician Assistant 1024 14th St Apt D, Santa Monica, CA 90403-7205 2013-02-13
1518239078 Cortney Lee Spraker Physician Assistant 1301 20th St Ste 440, Santa Monica, CA 90404-2109 2012-01-30
1063514578 Christopher Stephen Novits Physician Assistant 1222 Princeton St, Unit 18, Santa Monica, CA 90404-1449 2006-09-04
1508358805 Grace Castanon Physician Assistant 2001 Santa Monica Blvd Ste 760w, Santa Monica, CA 90404-2102 2018-06-01
1508172016 Stephanie E Pongracz Physician Assistant 2020 Santa Monica Blvd, Suite 400, Santa Monica, CA 90404-2023 2010-08-20
1447370697 Cheri Phillips Physician Assistant 1301 20th St, 400, Santa Monica, CA 90404-2050 2007-03-30
1457494197 Tanya Marie Cariveau Physician Assistant 1328 22nd St, Orthopedic Department, Santa Monica, CA 90404-2032 2007-02-14
1548302771 Jason Menadue Physician Assistant 2001 Santa Monica Blvd Ste 760w, Santa Monica, CA 90404-2102 2007-02-13
1619912276 Lisa Marie Cano Physician Assistant 1301 20th St, Santa Monica, CA 90404-2080 2006-06-18
1811986672 Liv S. Hagstrom Physician Assistant 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2005-10-14
Find all providers in SANTA MONICA

Competitor

Search similar providers

City SANTA MONICA
Zip Code 90404

Improve Information

Please comment or provide details below to improve the information on PHYSICIAN ASSISTANT SURGICAL SPECIALISTS, INC..

Dataset Information

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.

Trending Searches