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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.