Pacific Surgical Care

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

Legal business name

PACIFIC SURGICAL CARE

Practice address

1215 Brockton Ave Apt 205
Los Angeles, CA 90025-1390

Phone

(631) 294-1942

NPI assigned

Nov 12, 2019

Organization subpart

No

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

Authorized official

Name

Helen Jaramillo

Title

Billing Manager

Phone

(631) 294-1942

Specialties & licenses 1

Addresses

Practitioners 2

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

• Babak Moeinolmolki, M.D.

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1629003264
  NPD
• Babak Larian, MD

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Beverly Hills, CA
  • NPI 1588697536
  NPD (past)

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1104461300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 BROCKTON AVE APT 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251390",
            "telephone_number": "631-294-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 BROCKTON AVE APT 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251390",
            "telephone_number": "631-294-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SURGICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "JARAMILLO",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "631-294-1942"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Rim Electrophysiology Medical GRP, Inc.
• Pacific Senior Medical Group
• Pacific Sleep Medicine Services, Inc.
• Pacific Sleep Medicine, a Medical Corporation
• Pacific Specialists Imaging Inc
• Pacific Vascucare Surgery Center
• Pacific Vascucare, Inc.
• Pacific West Coast Health Medical Therapy Center Inc.
• Pacific West Counseling Center Inc
• Pacific West Health Center

• All providers in Los Angeles, CA
• Surgical Critical Care Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.