Organization Active NPI

Santa Monica Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1205083607
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
141835 Issued in CA
Legal business name
SANTA MONICA SURGICAL CENTER LLC
Practice address
2825 Santa Monica Blvd
Suite 100B
Santa Monica, CA 90404-2429
Phone
(888) 360-3522
NPI assigned
Aug 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Authorized official

Name
Zchodae Strom
Title
Administrator
Phone
(888) 360-3522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 141835 CA Primary

Addresses

Primary practice location

2825 Santa Monica Blvd
Suite 100B
Santa Monica, CA 90404-2429

Mailing address

2825 Santa Monica Blvd
Suite 100B
Santa Monica, CA 90404-2429
Phone (888) 360-3522

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1205083607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 SANTA MONICA BLVD",
            "address_2": "SUITE 100B",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042429",
            "telephone_number": "888-360-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 SANTA MONICA BLVD",
            "address_2": "SUITE 100B",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042429",
            "telephone_number": "888-360-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MONICA SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "STROM",
        "authorized_official_first_name": "ZCHODAE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "888-360-3522"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "141835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.