Channel Islands Surgicenter LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CHANNEL ISLANDS SURGICENTER LP

Practice address

2300 Wankel Way
Box 6225
Oxnard, CA 93030-2665

Phone

(805) 485-1908

NPI assigned

Apr 27, 2006

Organization subpart

No

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

Authorized official

Name

Richard L Sharff Jr.

Title

VP/Secretary

Phone

(205) 545-2572

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Channel Islands Surgicenter LPCCN 05C0001229

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dignity Health

  • Neurological Surgery Physician
  • Henderson, NV
  • NPI 1720358039

  Member Of

  NPD member

Locations

Practitioners 1

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

• Karen Simon, M.D.

  • Gastroenterology Physician
  • Oxnard, CA
  • NPI 1548384167
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1144287665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WANKEL WAY",
            "address_2": "PO BOX 6225",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930302665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WANKEL WAY",
            "address_2": "BOX 6225",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930302665",
            "telephone_number": "805-485-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANNEL ISLANDS SURGICENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "SHARFF",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP/SECRETARY",
        "authorized_official_telephone_number": "205-545-2572",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Channel Islands Family Medical Clinic
• Channel Islands Plastic & Reconstructive Surgery Medical Group, Inc.
• Channel Islands Prosthetics-Orthotics
• Channel Islands Prosthetics,Inc
• Channel Islands Rehab
• Charles H Avery M.D. a Professional Corporation
• Alyssa Chase, LCSW
• Maria G Chavez Juarez
• Alexander Chavez
• Alicia Chavez

• 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 Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.