Organization Active NPI

Integrity Ssurgical Center Inc.

  • Surgery Physician
  • San Dimas, CA
National Provider Identifier
1275015414
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
INTEGRITY SSURGICAL CENTER INC.
Practice address
221 N San Dimas Ave # 201
San Dimas, CA 91773-2664
Phone
(909) 592-0142
Fax
(909) 592-0339
NPI assigned
Sep 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Authorized official

Name
Alexander Sorokurs, MDNPI 1538282207
Title
Medical Director
Phone
(310) 622-5369

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X CA Primary
Ambulatory Surgical Clinic/Center 261QA1903X

Addresses

Primary practice location

221 N San Dimas Ave # 201
San Dimas, CA 91773-2664

Mailing address

221 N San Dimas Ave # 201
San Dimas, CA 91773-2664
Phone (909) 592-0142

National Provider Directory

National Provider Directory

Locations

221 N San Dimas Ave
#201
San Dimas, CA 91773
Phone (909) 592-0142

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1275015414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N SAN DIMAS AVE # 201",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732664",
            "telephone_number": "909-592-0142",
            "fax_number": "909-592-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N SAN DIMAS AVE # 201",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732664",
            "telephone_number": "909-592-0142",
            "fax_number": "909-592-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY SSURGICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "SOROKURS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-622-5369",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.