Select Specialty Surgery

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SELECT SPECIALTY SURGERY

Practice address

10900 Warner Ave Ste 101a
Fountain Valley, CA 92708-3846

Phone

(714) 290-6226

NPI assigned

Aug 11, 2022

Last updated

Dec 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suzanne Richards

Title

Co-Owner

Phone

(714) 290-6226

Specialties & licenses 1

Addresses

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.

• M. Mohsin Shah, M.D.

  • Neurological Surgery Physician
  • Bradenton, FL
  • NPI 1811970726
  NPD

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1104554617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2367 GYPSUM CT",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917092130",
            "telephone_number": "714-290-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 WARNER AVE STE 101A",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083846",
            "telephone_number": "714-290-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "714-290-6226"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seaport Family Therapy Services, Inc
• Seaside Terrace Holdings Corp (Seaside Terrace)
• Seiju E. Terada, O.D., Inc.
• Select Cal Physical Therapy PC (Select Physical Therapy)
• Select Healthcare System, a Medical Corporation
• Theresa Sena
• Camille A Sepina, DPT
• Daisy Serna-Aguilera
• Toni Marie Serrano, COTA
• Arianna Marie Serrato, AMFT

• Ambulatory Surgical Clinic/Center in Fountain Valley, CA
• Providers in Fountain Valley, 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 Dec 9, 2022; 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.