Active NPI
Advanced Surgical Associates of Santa Monica
- Surgery Physician
- Santa Monica, CA
National Provider Identifier
1063209195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- ADVANCED SURGICAL ASSOCIATES OF SANTA MONICA
- Practice address
- 2001 Santa Monica Blvd Ste 1170W
Santa Monica, CA 90404-2122 - Phone
- (310) 828-2212
- Fax
- (310) 828-6829
- NPI assigned
- Apr 22, 2025
- Last updated
- Apr 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Lublin, MD
- Title
- MD
- Phone
- (310) 828-2212
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
2001 Santa Monica Blvd Ste 1170W
Santa Monica, CA 90404-2122
Mailing address
2001 Santa Monica Blvd Ste 1170W
Santa Monica, CA 90404-2122
Phone (310) 828-2212
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Surgery Physician
- Santa Monica, CA
- NPI 1992741813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745280000000",
"number": "1063209195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD STE 1170W",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042122",
"telephone_number": "310-828-2212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD STE 1170W",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042122",
"telephone_number": "310-828-2212",
"fax_number": "310-828-6829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED SURGICAL ASSOCIATES OF SANTA MONICA",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-22",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A",
"authorized_official_last_name": "LUBLIN",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "310-828-2212",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.