Organization Active NPI

Cerritos Surgery Center, LLC

  • Surgery Physician
  • Cerritos, CA
National Provider Identifier
1457829319
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Nov 8, 2018

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.