San Pedro Surgery Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SAN PEDRO SURGERY CENTER, INC.

Practice address

1360 W 6TH St
Suite D
San Pedro, CA 90732-3514

Phone

(888) 819-1010

Fax

(866) 882-8889

NPI assigned

Jun 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Hossein Najafi, M.D.NPI 1265574172

Title

Medical Director

Phone

(310) 430-9560

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

San Pedro Surgery Center IncCCN 05C0002111

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

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

• Hossein Alkhorsan Najafi, M.D.

  • Plastic Surgery Physician
  • Rancho Palos Verdes, CA
  • NPI 1265574172
  NPD Authorized official

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1457790339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST",
            "address_2": "SUITE D",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "888-819-1010",
            "fax_number": "866-882-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST",
            "address_2": "SUITE D",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "888-819-1010",
            "fax_number": "866-882-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN PEDRO SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "NAJAFI",
        "authorized_official_first_name": "HOSSEIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-430-9560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Pedro Peninsula Hospital
• San Pedro Peninsula Hospital
• San Pedro Peninsula Hospital
• San Pedro Peninsula Hospital
• San Pedro Physical Therapy
• Muhria Ahmanise Sanati
• Leticia Sanchez
• Vivian Ann Sandgren
• Sofia Santa Cruz-Polak, LCSW
• Santana Chiropractic Management Inc

• Ambulatory Surgical Clinic/Center in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.