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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2121 SANTA MONICA BLVD |
City | SANTA MONICA |
State | CA |
Zip Code | 90404-2303 |
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 |
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 Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
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 |
City | SANTA MONICA |
Zip Code | 90404 |
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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.