Organization Active NPI

Highly Artistic Surgery, Inc

  • Ambulatory Surgical Clinic/Center
  • Poway, CA
National Provider Identifier
1336484096
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A105747 Issued in CA
Legal business name
HIGHLY ARTISTIC SURGERY, INC
Practice address
15725 Pomerado Rd Ste 212
Highly Artistic Surgery, Inc
Poway, CA 92064-2060
Phone
(858) 487-3742
Fax
(858) 206-3742
NPI assigned
Dec 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Dr. CHI D Ha, M.D., FACSNPI 1669663803
Title
Chair
Phone
(858) 487-3742

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
Ambulatory Surgical Clinic/Center 261QA1903X A105747 CA Primary

Addresses

Primary practice location

15725 Pomerado Rd Ste 212
Highly Artistic Surgery, Inc
Poway, CA 92064-2060

Mailing address

15725 Pomerado Rd Ste 212
Highly Artistic Surgery, Inc
Poway, CA 92064-2060
Phone (858) 487-3742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121231000184 CA Part B Supplier - Clinic/Group Practice 0941453880 Receives reassigned benefits from 1 practitioner
Practice locations: Poway, CA

National Provider Directory

National Provider Directory

Locations

12630 Monte Vista Rd
Ste 105
Poway, CA 92064
Phone (858) 312-5016

15725 Pomerado Rd
Ste 212
Poway, CA 92064
Phone (858) 487-3742

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": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1336484096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD STE 212",
            "address_2": "HIGHLY ARTISTIC SURGERY, INC",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642060",
            "telephone_number": "858-487-3742",
            "fax_number": "858-206-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD STE 212",
            "address_2": "HIGHLY ARTISTIC SURGERY, INC",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642060",
            "telephone_number": "858-487-3742",
            "fax_number": "858-206-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLY ARTISTIC SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "CHI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHAIR",
        "authorized_official_telephone_number": "858-487-3742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., FACS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A105747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.