Active NPI
Cerritos Surgery Center, LLC
- Surgery Physician
- Cerritos, CA
National Provider Identifier
1457829319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- CERRITOS SURGERY CENTER, LLC
- Practice address
- 16543 Carmenita Rd
Cerritos, CA 90703-2218 - Phone
- (562) 219-7251
- Fax
- (562) 219-7252
- NPI assigned
- Nov 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaqueline V Jaime
- Title
- Manager
- Phone
- (562) 219-7251
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
16543 Carmenita Rd
Cerritos, CA 90703-2218
Mailing address
16543 Carmenita Rd
Cerritos, CA 90703-2218
Phone (562) 219-7251
Other names 1
- Cerritos Surgery Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541635200000",
"number": "1457829319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16543 CARMENITA RD",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032218",
"telephone_number": "562-219-7251",
"fax_number": "562-219-7252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16543 CARMENITA RD",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032218",
"telephone_number": "562-219-7251",
"fax_number": "562-219-7252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CERRITOS SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-08",
"last_updated": "2018-11-08",
"status": "A",
"authorized_official_last_name": "JAIME",
"authorized_official_first_name": "JAQUELINE",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "562-219-7251"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cerritos Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.