San Dimas Surgical Medical Center Institute Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

FNP31533 Issued in CA

Legal business name

SAN DIMAS SURGICAL MEDICAL CENTER INSTITUTE INC.

Practice address

221 N San Dimas Ave
Suite 200
San Dimas, CA 91773-2664

Phone

(909) 592-0142

Fax

(909) 592-0339

NPI assigned

Aug 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Sorokurs, M.D.

Title

Presient

Phone

(909) 592-0142

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1407040843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N SAN DIMAS AVE",
            "address_2": "SUITE 200",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732664",
            "telephone_number": "909-592-0142",
            "fax_number": "909-592-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N SAN DIMAS AVE",
            "address_2": "SUITE 200",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732664",
            "telephone_number": "909-592-0142",
            "fax_number": "909-592-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIMAS SURGICAL MEDICAL CENTER INSTITUTE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "SOROKURS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIENT",
        "authorized_official_telephone_number": "909-592-0142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "FNP31533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Dimas Pathology Associates
• San Dimas Periodontics
• San Dimas Physical Therapy, Inc
• San Dimas Retirement Center LLC
• San Dimas Surgical Medical Center
• San Gabriel Valley Surgical Medical GRP, Inc
• Angel J. Sanchez-Figueras, D.D.S.
• Alex Mauricio Sanchez
• Brianna Sanchez
• Clarissa Jenny Sanchez

• Clinic/Center in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.