Nova Surgicenter, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

S551088 Issued in CA

Legal business name

NOVA SURGICENTER, INC

Practice address

120 S Spalding Dr
Ste. 205
Beverly Hills, CA 90212-1800

Phone

(310) 273-8002

Fax

(310) 273-8608

NPI assigned

Sep 8, 2006

Organization subpart

No

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

Authorized official

Name

Kristi M. Funk, M.D.NPI 1821115825

Title

Medical Director

Phone

(310) 273-8002

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kristi Mari Funk, M.D.

  • Surgical Oncology Physician
  • Beverly Hills, CA
  • NPI 1821115825
  NPD (past) Authorized official

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1285738682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR",
            "address_2": "SUITE 205",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121800",
            "telephone_number": "310-273-8002",
            "fax_number": "310-273-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR",
            "address_2": "STE. 205",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121800",
            "telephone_number": "310-273-8002",
            "fax_number": "310-273-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA SURGICENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-273-8002",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "S551088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nosei la
• Rashin Nouranifar Simoni, DDS
• Nima Nouri, PSY.D.
• Nicole Michelle Nourmand, MD
• Rachel Nourmand
• Nova Wound Care
• Nova Wound Care Medical Corp
• Brian Howard Novack, M.D.
• Arian Noveir, DDS
• Joshua B Novinbakht, DDS

• Ambulatory Surgical Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.