Organization Active NPI

Ocean Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Torrance, CA
National Provider Identifier
1194774737
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
OCEAN SURGERY CENTER LLC
Practice address
2802 Pacific Coast Hwy
Torrance, CA 90505-6759
Phone
(310) 325-1644
Fax
(310) 325-7400
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Dr. Sherif M Khattab, M.D.
Title
Medical Director
Phone
(310) 325-1644

Specialties & licenses 1

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

Addresses

Primary practice location

2802 Pacific Coast Hwy
Torrance, CA 90505-6759

Mailing address

23365 Hawthorne Blvd Ste 102
Torrance, CA 90505-3720
Phone (310) 325-1644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071107000439 CA Part B Supplier - Ambulatory Surgical Center 2769579796 Practice locations: Torrance, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Ocean Surgery Center LLCCCN 05C0001804
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

23365 Hawthorne Blvd
Torrance, CA 90505
Phone (310) 882-6261

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1194774737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23365 HAWTHORNE BLVD STE 102",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053720",
            "telephone_number": "310-325-1644",
            "fax_number": "310-325-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 PACIFIC COAST HWY",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056759",
            "telephone_number": "310-325-1644",
            "fax_number": "310-325-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "KHATTAB",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-325-1644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.