IMAGEBASED SURGICENTER CORPORATION (NPI# 1679624233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679624233 |
Entity Type | Organization |
Organization Name | IMAGEBASED SURGICENTER CORPORATION |
Practice Address |
2716 Ocean Park Blvd Suite 1007 Santa Monica CA 90405-5207 |
Practice Telephone | 3103146410 |
Practice Fax Number | 3103142414 |
Mailing Telephone | 3103146410 |
Mailing Fax Number | 3103142414 |
Enumeration Date | 2007-01-12 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. AARON GERSHON FILLER (MEDICAL DIRECTOR) |
Authorized Official Telephone | 3103146410 |
Authorized Official Credential | M.D. PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0000694940-AAAHC | CA | Ambulatory Health Care Facilities |
Street Address |
2716 OCEAN PARK BLVD SUITE 1007 |
City | SANTA MONICA |
State | CA |
Zip Code | 90405-5207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225189871 | Aaron Gershon Filler | Neurological Surgery | 2716 Ocean Park Blvd, Suite 3082, Santa Monica, CA 90405-5207 | 2007-01-12 |
1295180727 | Lauren Druss | Dietitian, Registered | 2716 Ocean Park Blvd, Suite 3020, Santa Monica, CA 90405-5207 | 2016-05-03 |
1891149118 | John Siritaranukul | Dietitian, Registered | 2716 Ocean Park Blvd, Suite 3020, Santa Monica, CA 90405-5207 | 2016-04-22 |
1225274624 | Yichun Michelle Fang | Registered Nurse | 2716 Ocean Park Blvd, Suite 3082, Santa Monica, CA 90405-5207 | 2009-01-06 |
1528276946 | Robert M Brook | Psychologist | 2716 Ocean Park Blvd, Suite 3010, Santa Monica, CA 90405-5207 | 2007-05-18 |
1871644658 | Neurgraphy Institute Medical Associates Inc. | Radiology | 2716 Ocean Park Blvd, Suite 3075, Santa Monica, CA 90405-5207 | 2007-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699328476 | Nicole Ryan Harbeck | Marriage & Family Therapist | 2716 Ocean Park Blvd Ste 2007, Santa Monica, CA 90405 | 2019-07-19 |
1922664440 | Betty Ann Wise | Counselor | 1865 W. 9th Street, Santa Monica, CA 90405 | 2019-05-10 |
1790203776 | Ernest Jones Jr. | Counselor | 909 Pico Blvd., Santa Monica, CA 90405 | 2017-08-30 |
1285171371 | Jori Adler Marriage & Family Therapy Prof. Corp. | Marriage & Family Therapist | 3400 Airport Ave Ste 30, Santa Monica, CA 90405 | 2017-01-26 |
1376993147 | Damoan Corp. | Speech-Language Pathologist | 2801 Ocean Park Blvd Ste 393, Santa Monica, CA 90405 | 2016-06-13 |
1427410034 | Adam Rubio | Clinical Neuropsychologist | 1916 4th Street, Santa Monica, CA 90405 | 2016-03-23 |
1760852842 | Yramnna Smith | Behavioral Analyst | 2716 Ocean Park Blvd Ste 1025, Santa Monica, CA 90405 | 2015-10-01 |
1689086076 | Cheryl K. Baker | Community Health Worker | 1750 Ocean Park Blvd., Suite 206, Santa Monica, CA 90405 | 2014-05-20 |
1629409891 | Dominique M. Delvecchio | Nurse Practitioner | 2716 Ocean Park Blvd. Suite 3082, Institute for Nerve Medicine, Santa Monica, CA 90405 | 2013-12-12 |
1639512692 | Nancy Elizabeth Hyland | Marriage & Family Therapist | 1720 Ocean Park Blvd, Suite 200a, Santa Monica, CA 90405 | 2013-04-09 |
Find all providers in zip 90405 |
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 | 90405 |
Please comment or provide details below to improve the information on IMAGEBASED SURGICENTER CORPORATION.
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.