Organization Active NPI

Davtyan Surgical Associates, Inc

Doing business as NewHope Bariatrics Weight Loss Center

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1184817173
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
DAVTYAN SURGICAL ASSOCIATES, INC
Doing business as
NewHope Bariatrics Weight Loss Center
Practice address
11847 Wilshire Blvd
Suite 200
Los Angeles, CA 90025-6620
Phone
(913) 312-3719
Fax
(913) 312-3715
NPI assigned
Aug 22, 2007
Last updated
Sep 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Mrs. Carole Susan Guinane, RN
Title
Chief Clinical Officer
Phone
(704) 246-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X CA Primary

Addresses

Primary practice location

11847 Wilshire Blvd
Suite 200
Los Angeles, CA 90025-6620

Mailing address

10700 Sikes PL
Suite 120
Charlotte, NC 28277-8144
Phone (704) 246-0700

Other names 1

  • NewHope Bariatrics Weight Loss Center Doing business as

National Provider Directory

National Provider Directory

Locations

11847 Wilshire Blvd
Ste 200
Los Angeles, CA 90025
Phone (913) 312-3719

10700 Sikes Pl
Ste 120
Charlotte, NC 28277

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1184817173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 SIKES PL",
            "address_2": "SUITE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778144",
            "telephone_number": "704-246-0700",
            "fax_number": "704-246-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11847 WILSHIRE BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256620",
            "telephone_number": "913-312-3719",
            "fax_number": "913-312-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVTYAN SURGICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "GUINANE",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "704-246-0700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NewHope Bariatrics Weight Loss Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.