Ib Surgery Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A117875 Issued in CA

Legal business name

IB SURGERY INC

Practice address

12740 Hesperia Rd Ste B
Victorville, CA 92395

Phone

(760) 410-6100

Fax

(760) 854-4100

NPI assigned

Jun 30, 2015

Organization subpart

No

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

Authorized official

Name

Irene Bielawiec Houari, MD

Title

Ceo

Phone

(973) 738-7336

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Bryan Rivera, M.D

  • Surgery Physician
  • Apple Valley, CA
  • NPI 1447498985
  NPD (past)

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1215310909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1792",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917851792",
            "telephone_number": "760-410-6100",
            "fax_number": "761-854-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12740 HESPERIA RD STE B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92395",
            "telephone_number": "760-410-6100",
            "fax_number": "760-854-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12276 Hesperia Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923955838",
            "country_code": "US",
            "telephone_number": "760-410-6100",
            "fax_number": "760-854-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 San Bernardino Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917867299",
            "country_code": "US",
            "telephone_number": "909-946-6221",
            "fax_number": "909-949-3802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IB SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "HOUARI",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "BIELAWIEC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-738-7336",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A117875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H Dijon Hyder
• Marielena Hyder
• Danavan Hylton
• Hyun Shin, DDS., Inc.
• I Am Home Healthcare Services LLC
• Ronaldo Ibarra-Valtierra
• Celia Ibarra
• Lorraine Ibarra, PA
• Tony Ibrahim
• Iehp Health Access

• Surgery Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.