Dr Mona Misra Advanced Surgical Specialists PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A88524 Issued in CA

Legal business name

DR MONA MISRA ADVANCED SURGICAL SPECIALISTS PC

Practice address

8631 W 3Rd St
Suite 540 E
Los Angeles, CA 90048-5901

Phone

(424) 999-5677

Fax

(213) 260-9356

NPI assigned

Feb 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Monali Misra, M.D.NPI 1942530928

Title

Ceo-President

Phone

(213) 280-1135

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Monali Misra, M.D.

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1942530928
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1457624231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "SUITE 540 E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "424-999-5677",
            "fax_number": "213-260-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "SUITE 540 E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "424-999-5677",
            "fax_number": "213-260-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MONA MISRA ADVANCED SURGICAL SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "MISRA",
        "authorized_official_first_name": "MONALI",
        "authorized_official_title_or_position": "CEO-PRESIDENT",
        "authorized_official_telephone_number": "213-280-1135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A88524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.