Organization Active NPI

Advanced Surgical Associates of Santa Monica

  • Surgery Physician
  • Santa Monica, CA
National Provider Identifier
1063209195
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Matthew Lublin, MDNPI 1992741813
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.