Surgical Institute of California LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGICAL INSTITUTE OF CALIFORNIA LLC

Practice address

4401 Atlantic Ave Ste 200
Long Beach, CA 90807-2264

Phone

(562) 422-0773

NPI assigned

Jul 30, 2021

Organization subpart

No

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

Authorized official

Name

Navid Farahmand

Title

Manager

Phone

(801) 580-0946

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1184397523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 ATLANTIC AVE STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 ATLANTIC AVE STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072264",
            "telephone_number": "562-422-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL INSTITUTE OF CALIFORNIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "FARAHMAND",
        "authorized_official_first_name": "NAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-580-0946"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supernova Speech Therapy, a Professional Speech Language Pathology Cor (Supernova Speech Therapy)
• Supplemental Health Care
• Nissi Sharon Suppogu, M.D
• Michael Surban
• Sure Ride Senior Transportation
• Surgical Suite of Southern California, a Medical Corporation
• Susan Walshe, MFT, Inc
• Hayley Jones Sussman, PH.D.
• Jocelynn Vida Sustaita, D.M.D.
• Pete Sutch

• Ambulatory Surgical Clinic/Center in Long Beach, CA
• Providers in Long Beach, 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 Jul 30, 2021; 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.