Soma Surgery Center Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

00014995 Issued in CA

Legal business name

SOMA SURGERY CENTER INC.

Practice address

8929 Wilshire Blvd Ste 102
Beverly Hills, CA 90211-1950

Phone

(310) 855-8936

Fax

(413) 643-6360

NPI assigned

Apr 30, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sean S RavaeiNPI 1568573251

Title

Owner

Phone

(310) 673-0523

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Soma Surgery CenterCCN 05C0002015

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean S. Ravaei, DPM

  • Foot Surgery Podiatrist
  • Beverly Hills, CA
  • NPI 1568573251
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1013275965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 CENTURY PARK E APT 602",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672214",
            "telephone_number": "310-673-0523",
            "fax_number": "413-643-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8929 WILSHIRE BLVD STE 102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111950",
            "telephone_number": "310-855-8936",
            "fax_number": "413-643-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA SURGERY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "RAVAEI",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-673-0523",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "00014995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Solomon
• Vanessa Eleanor Solomon, DO
• Sheila T Solymani, PHARMD
• Robin Solymanijam, M.D.
• Soma Orthopedic Associates
• Paula Sommerhalder, O.T.
• Mason Andrew Sommers, PH.D
• Britt James Sommerville, M. D.
• Christine Son, PA
• Sonal Sodha MD Inc

• Ambulatory Surgical Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.