Century City Surgical Associates a Medical Corporation Associates Medi

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G46653 Issued in CA

Legal business name

CENTURY CITY SURGICAL ASSOCIATES A MEDICAL CORPORATION ASSOCIATES MEDI

Doing business as

Century City Surgical Associates A Medical Corporation

Practice address

6076 Bristol Pkwy Ste 108
Culver City, CA 90230-6600

Phone

(310) 348-9604

Fax

(310) 338-1219

NPI assigned

Nov 3, 2006

Last updated

May 20, 2020By 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

Spencer Leland Brown, MDNPI 1124210018

Title

President

Phone

(310) 348-9604

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Century City Surgical Associates A Medical Corporation Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• Spencer Leland Brown, M.D.

  • Vascular Surgery Physician
  • Los Angeles, CA
  • NPI 1124210018
  Medicare reassignment Authorized official
• Alan Marco, MD

  • Anesthesiology Physician
  • Beverly Hills, CA
  • NPI 1013905538
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1053490755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3098",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103098",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6076 BRISTOL PKWY STE 108",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306600",
            "telephone_number": "310-348-9604",
            "fax_number": "310-338-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY CITY SURGICAL ASSOCIATES A MEDICAL CORPORATION ASSOCIATES MEDI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "LELAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-348-9604",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G46653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053490755",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Century City Surgical Associates A Medical Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martin Cejr Jr.
• Celen Emeruwa (Whole Care Counseling)
• Hannia Mercedes Centeno
• Center for Fall Prevention, a Medical Corporation
• Center for Healthy Marriage
• Jonathan Cerda
• Kathleen Anne Bucag Cerdena
• Elisabed Cervantes-Bautista
• Mirna Cervantes, LCSW
• Seydi Cetz

• Surgery Physician in Culver City, CA
• Providers in Culver City, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.