Surgical Associates of Santa Monica a Medical Group

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGICAL ASSOCIATES OF SANTA MONICA A MEDICAL GROUP

Practice address

2021 Santa Monica Blvd
Ste 625 East
Santa Monica, CA 90404-2208

Phone

(310) 453-8838

Fax

(310) 453-8355

NPI assigned

Feb 6, 2006

Last updated

Apr 18, 2011By 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

Amy M Kusske, MD

Title

Physician

Phone

(310) 453-8838

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1437121282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD",
            "address_2": "STE 625 EAST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042208",
            "telephone_number": "310-453-8838",
            "fax_number": "310-453-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD",
            "address_2": "STE 625 EAST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042208",
            "telephone_number": "310-453-8838",
            "fax_number": "310-453-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF SANTA MONICA A MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "KUSSKE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-453-8838",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0057190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeff D Sung, MD
• Sunset Park Healthcare LLC (Sunset Park Healthcare)
• Elizabeth Kim Sunu, MD
• Denise K Sur
• Ashley Suraweera, MD
• Surgiluxe Inc
• Susan T Henderson
• Irawan Susanto, MD
• Thomas Michael Susko, M.D.
• Valerie Goldfine Susman

• Surgery Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.