Wilshire Center for Ambulatory Surgery, Inc.

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

20A5971 Issued in CA

Legal business name

WILSHIRE CENTER FOR AMBULATORY SURGERY, INC.

Practice address

1127 Wilshire Blvd
Suite 1515
Los Angeles, CA 90017-3901

Phone

(213) 250-7243

Fax

(213) 250-8272

NPI assigned

Jul 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Merrick Sage, D.O.NPI 1114926730

Title

Medical Director

Phone

(213) 250-5333

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jeffrey Merrick Sage, D.O.

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1114926730
  NPD Authorized official

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1033309406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD",
            "address_2": "SUITE 1515",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173901",
            "telephone_number": "213-250-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD",
            "address_2": "SUITE 1515",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173901",
            "telephone_number": "213-250-7243",
            "fax_number": "213-250-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE CENTER FOR AMBULATORY SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "SAGE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MERRICK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "213-250-5333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "CA",
            "license": "20A5971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilshire Aesthetics Medical Associates Surgery Center, Inc.
• Wilshire Aesthetics Medical Associates, Inc.
• Wilshire Anesthesia Associates LLC
• Wilshire Anesthesia Associates LLC
• Wilshire Cardiology Group, a Professional Corporation (Wilshire Cardiology Group, Inc.)
• Wilshire Center for Cosmetic Surgery, a Professional Corporation
• Wilshire Center for Dermatology, a Professional Corporation
• Wilshire Co Medical Group Inc
• Wilshire Dermatology Medical Group, Inc.
• Wilshire District Medical Group

• Ophthalmologic Surgery Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ophthalmologic Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.