NPIMap

Organization Active NPI

Urologic Surgeons of the South Bay

  • Specialist
  • Torrance, CA
National Provider Identifier
1073056537
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G48982 Issued in CA
Legal business name
UROLOGIC SURGEONS OF THE SOUTH BAY
Practice address
23600 Telo Ave Ste 220
Torrance, CA 90505-4039
Phone
(310) 534-8400
Fax
(310) 534-0463
NPI assigned
Nov 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Marc Stratton, M.D.NPI 1386698330
Title
President
Phone
(310) 534-8400

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X G48982 CA Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X A75707 CA
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X A103673 CA

Addresses

Primary practice location

23600 Telo Ave Ste 220
Torrance, CA 90505-4039

Mailing address

23600 Telo Ave Ste 220
Torrance, CA 90505-4039
Phone (310) 534-8400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1073056537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23600 TELO AVE STE 220",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054039",
            "telephone_number": "310-534-8400",
            "fax_number": "310-534-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23600 TELO AVE STE 220",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054039",
            "telephone_number": "310-534-8400",
            "fax_number": "310-534-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGIC SURGEONS OF THE SOUTH BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "STRATTON",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-534-8400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G48982",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A75707",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A103673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.