Los Alamitos Colorectal Surgical Associates

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

G51618 Issued in CA

Legal business name

LOS ALAMITOS COLORECTAL SURGICAL ASSOCIATES

Practice address

10931 Cherry St
Suite 200
Los Alamitos, CA 90720-2445

Phone

(562) 596-7700

Fax

(562) 596-7600

NPI assigned

Apr 19, 2007

Last updated

Jan 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Imad Shbeeb, MDNPI 1720063464

Title

President

Phone

(562) 596-7700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Imad A Shbeeb, MD

  • Colon & Rectal Surgery Physician
  • Los Alamitos, CA
  • NPI 1720063464
  Medicare reassignment NPD Authorized official
• Stuart Miller, M.D.

  • Emergency Medicine Physician
  • Long Beach, CA
  • NPI 1295787810
  NPD (past)
• Halline Uzell Overby, M.D.

  • Hematology & Oncology Physician
  • Lynwood, CA
  • NPI 1912062001
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1043437379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10931 CHERRY ST",
            "address_2": "SUITE 200",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202445",
            "telephone_number": "562-596-7700",
            "fax_number": "562-596-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10931 CHERRY ST",
            "address_2": "SUITE 200",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202445",
            "telephone_number": "562-596-7700",
            "fax_number": "562-596-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ALAMITOS COLORECTAL SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "SHBEEB",
        "authorized_official_first_name": "IMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-596-7700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "G51618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Lopez
• Katrina A Lopez, RDN
• Korina Victoriana Lopez
• Stacey Lora, PA-C
• Lori a Hallett Audiology PC (Hearing Services West)
• Los Alamitos Dental Care
• Los Alamitos Endodontics Dental Practice of Polk and Livingford
• Los Alamitos Foot Clinic (Joseph M. Hughes, DPM)
• Los Alamitos Hematology/Oncology Medical Group, Inc.
• Los Alamitos Hemodialysis Center, Inc.

• Colon & Rectal Surgery Physician in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Colon & Rectal Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.