Advanced Surgical Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

G52590 Issued in CA

Legal business name

ADVANCED SURGICAL ASSOCIATES

Practice address

3300 E South St
#201
Long Beach, CA 90805-4588

Phone

(562) 531-9272

Fax

(562) 408-0346

NPI assigned

Dec 18, 2007

Last updated

Sep 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Willie Goffney, MDNPI 1679776074

Title

President

Phone

(562) 930-3841

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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.

• Willie Henry Goffney Jr., MD

  • Surgical Oncology Physician
  • Long Beach, CA
  • NPI 1679776074
  Medicare reassignment Authorized official
• Sam W. Abdelmelek, MD

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1649414855
  NPD
• Basem R. Farag, M.D

  • Family Medicine Physician
  • Lakewood, CA
  • NPI 1457441974
  NPD

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1336323971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E SOUTH ST",
            "address_2": "#201",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "908054588",
            "telephone_number": "562-531-9272",
            "fax_number": "562-408-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E SOUTH ST",
            "address_2": "#201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054588",
            "telephone_number": "562-531-9272",
            "fax_number": "562-408-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "GOFFNEY",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-930-3841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G52590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Gi Imaging & Diagnostic Center,Inc
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• Advanced Rehab Therapy Inc. (Motion Plus Aquatic & Therapy Center)
• Advanced RX LB LLC (Advanced Care Pharmacy)
• Advanced Women's Health
• Advances in Mental Health & Addictions Treatment Ctr
• Advances in Mental Health &Addictions Treatment Center
• Advances in Mental Health and Addictions Treatment Inc
• Advances in Mental Health and Addictions Treatment, Inc

• Specialist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.