MD Surgical

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MD SURGICAL

Practice address

3510 South St.,
Lakewood, CA 90712

Phone

(562) 413-2007

Fax

(562) 602-1915

NPI assigned

Feb 24, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Amelia Medrano Medrano

Title

Owner

Phone

(562) 413-2007

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 55C0001139

Legal name

MD Surgical

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

May 17, 2023

Last certification

May 17, 2023

Ownership / control type

Proprietary

Facility address

3510 E South St
lakewood, CA 90712

Locations

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1306430996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 SOUTH ST.,",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "90712",
            "telephone_number": "562-413-2007",
            "fax_number": "562-602-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 SOUTH ST.,",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "90712",
            "telephone_number": "562-413-2007",
            "fax_number": "562-602-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "MEDRANO",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "MEDRANO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-413-2007",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany PJ McKee, PSYD, LMFT
• Mia McKellar
• Elstree Rose McMillan
• Danyel Nicole McQuinn, M.A.
• Amber Jasmine McWha
• Yevgeny Edd Jozef Marababol Medalle, OTR/L
• Medical Diagnostic and Prognostic Laboratory (Medprolab)
• Medical Resource Inc (Mobile Medical Resource Inc)
• Rocio Medina
• Amaturrahman Medlock

• Ambulatory Surgical Clinic/Center in Lakewood, CA
• Providers in Lakewood, 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 Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.