Santa Monica Outpatient Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SANTA MONICA OUTPATIENT SURGERY CENTER

Doing business as

Plastikkirurgi, Inc.

Practice address

2001 Santa Monica Blvd., Suite 1180W
Santa Monica, CA 90404

Phone

(310) 829-5550

Fax

(310) 829-5502

NPI assigned

Dec 10, 2008

Organization subpart

Yes

Parent organization

PLASTIKKIRURGI, INCAs reported in NPPES

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

Authorized official

Name

Sheryl Santos

Title

Delegated Official

Phone

(310) 592-0266

Specialties & licenses 1

Addresses

Other names 1

• Plastikkirurgi, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Plastikkirurgi, Inc.

  • Plastic Surgery Physician
  • Santa Monica, CA
  • NPI 1730749748

  O20190312003010

  Same enrollment

Part of

Plastikkirurgi Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Plastikkirurgi, Inc.

  • Plastic Surgery Physician
  • Santa Monica, CA
  • NPI 1730749748
  NPPES parent name

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1053556670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD., SUITE 1180W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-829-5550",
            "fax_number": "310-829-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD., SUITE 1180W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-829-5550",
            "fax_number": "310-829-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MONICA OUTPATIENT SURGERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLASTIKKIRURGI, INC",
        "enumeration_date": "2008-12-10",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "310-592-0266"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plastikkirurgi, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Santa Monica Nerve Conduction
• Santa Monica Operating Company LP
• Santa Monica Operations LLC
• Santa Monica Orthopaedic and Sports Medicine Group
• Santa Monica Orthopaedic Group
• Santa Monica Physical Therapy Inc
• Santa Monica Podiatry Group, Inc.
• Santa Monica Preventive Cardiology Medical Group, Inc
• Santa Monica Psychology Group, Inc
• Santa Monica Psychotherapy Group

• Ambulatory Surgical Clinic/Center in Santa Monica, CA
• Providers in Santa Monica, 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 Jun 20, 2019; 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.