James Surdilla DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46529 Issued in CA

Legal business name

JAMES SURDILLA DDS

Practice address

3557 E South St
Long Beach, CA 90805-4519

Phone

(562) 633-8848

Fax

(562) 633-6303

NPI assigned

Aug 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James Surdilla, DDSNPI 1558371294

Title

President

Phone

(562) 633-8848

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• James S Surdilla, DDS

  • General Practice Dentistry
  • Arcata, CA
  • NPI 1558371294
  NPD (past) Authorized official

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1366636524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10929 SOUTH ST STE 114B",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035365",
            "telephone_number": "562-924-2711",
            "fax_number": "562-924-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3557 E SOUTH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054519",
            "telephone_number": "562-633-8848",
            "fax_number": "562-633-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES SURDILLA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "SURDILLA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-633-8848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "D46529",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James D. Leo, M.D., Inc.
• James F Carillo, M.D., Inc.
• James F. Loos DDS Inc
• James J Krueger, MD, Inc
• James K. Dellorusso, M.D., PC
• Candice James-Todd
• Barbara Ann James, DDS
• Francis James, D.D.S.
• Gregory T James
• Kylee James, CPO

• General Practice Dentistry in Long Beach, CA
• Providers in Long Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.