Hermosa Street Surgery, a Medical Clinic

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HERMOSA STREET SURGERY, A MEDICAL CLINIC

Doing business as

Hermosa Surgery Center

Practice address

1801 Solar Drive
#160
Oxnard, CA 93030

Phone

(805) 983-1999

Fax

(805) 485-9490

NPI assigned

Feb 25, 2009

Organization subpart

No

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

Authorized official

Name

William Starr, M.D.

Title

Owner

Phone

(805) 983-1999

Specialties & licenses 1

Addresses

Other names 1

• Hermosa Surgery Center Doing business as

Locations

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1073753406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11999 SAN VICENTE BLVD",
            "address_2": "STE. 440",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495131",
            "telephone_number": "310-471-5852",
            "fax_number": "310-472-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SOLAR DRIVE",
            "address_2": "#160",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93030",
            "telephone_number": "805-983-1999",
            "fax_number": "805-485-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMOSA STREET SURGERY, A MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-983-1999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hermosa Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Scott Herald
• Mona Heravi, DDS
• Connie Marie Herbst, RN
• Bertha Heredia, M.S.
• Lizette Heredia
• Angela Hernandez Lopez
• Carmen Hernandez Lopez
• Yuleni Hernandez Lopez
• Erika Hernandez Martinez
• Elidia Hernandez-Hamburger

• Ambulatory Surgical Clinic/Center in Oxnard, CA
• Providers in Oxnard, 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 Feb 25, 2009; 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.