Organization Active NPI

Surgical Edge Inc

  • Surgery Physician
  • San Bernardino, CA
National Provider Identifier
1275488520
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICAL EDGE INC
Practice address
164 W Hospitality LN Ste 100
San Bernardino, CA 92408-3350
Phone
(909) 883-8834
Fax
(909) 644-4021
NPI assigned
Mar 2, 2026
Last updated
Mar 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Dr. Fariborz Lalezarzadeh, DONPI 1811004625
Title
President
Phone
(323) 854-5656

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

164 W Hospitality LN Ste 100
San Bernardino, CA 92408-3350

Mailing address

700 E Redlands Blvd # U299
Redlands, CA 92373-6109
Phone (909) 883-8834

National Provider Directory

National Provider Directory

Locations

700 E Redlands Blvd
#U299
Redlands, CA 92373

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1275488520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E REDLANDS BLVD # U299",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736109",
            "telephone_number": "909-883-8834",
            "fax_number": "909-644-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W HOSPITALITY LN STE 100",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083350",
            "telephone_number": "909-883-8834",
            "fax_number": "909-644-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL EDGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "LALEZARZADEH",
        "authorized_official_first_name": "FARIBORZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-854-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.