Organization Active NPI

Socal Surgical Services

  • Surgical Physician Assistant
  • Riverside, CA
National Provider Identifier
1043885197
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
SOCAL SURGICAL SERVICES
Practice address
4445 Magnolia Ave
Riverside, CA 92501-4135
Phone
(714) 319-9235
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
James Y Lee, PA-C
Title
President/Physician Assistant
Phone
(714) 319-9235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

4445 Magnolia Ave
Riverside, CA 92501-4135

Mailing address

360 E 1St St Unit 770
Tustin, CA 92780-3211
Phone (714) 319-9235

Other names 1

  • SoCal Surgical Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1043885197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E 1ST ST UNIT 770",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803211",
            "telephone_number": "714-319-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014135",
            "telephone_number": "714-319-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL SURGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "714-319-9235",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SoCal Surgical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SoCal Surgical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.