South Coast Ear Nose & Throat a Medical Corporation

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

SOUTH COAST EAR NOSE & THROAT A MEDICAL CORPORATION

Practice address

800 Corporate Dr
Suite 290
Ladera Ranch, CA 92694

Phone

(949) 218-5200

NPI assigned

Jan 8, 2007

Last updated

Jul 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Avrum Aaron Kaufman, DONPI 1093863722

Title

President

Phone

(949) 218-5200

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Avrum Aaron Kaufman, DO

  • Otolaryngology Physician
  • Ladera Ranch, CA
  • NPI 1093863722
  Medicare reassignment Authorized official
• Zachary H. Lutsky, M.D.

  • Emergency Medicine Physician
  • Santa Monica, CA
  • NPI 1528019205
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1205984960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CORPORATE DR",
            "address_2": "SUITE 290",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CORPORATE DR",
            "address_2": "SUITE 290",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "92694",
            "telephone_number": "949-218-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Endeavor Ste 204",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926183181",
            "country_code": "US",
            "telephone_number": "949-218-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH COAST EAR NOSE & THROAT A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "AVRUM",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-218-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elnaz Shahabi-Abney, DO
• Parisa Shirkhani, NP-C
• Annie Kaye Shugarman, P.A.-C
• Elizabeth Kay Sorensen, LCSW
• Sotomayor Marriage and Family Therapy Inc. (Bridging Borders Therapy)
• Meghan Sparling, M.S. CCC-SLP
• Mackensey Makayla Speirs, MS
• Spencer Rodriguez Podiatry Corporation (Southern California Foot and Ankle Specialists)
• Robert James Spencer, DPM
• Todd Arthur Spicer, D.C.

• Otolaryngology Physician in Ladera Ranch, CA
• Providers in Ladera Ranch, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.