NPIMap

Organization Active NPI

Kerry K. Assil, M.D., Inc.

Doing business as Assil Eye Institute

  • Ophthalmology Physician
  • Santa Monica, CA
National Provider Identifier
1467636365
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G62647 Issued in CA
Legal business name
KERRY K. ASSIL, M.D., INC.
Doing business as
Assil Eye Institute
Practice address
2222 Santa Monica Blvd
Suite 107
Santa Monica, CA 90404-2304
Phone
(310) 453-8911
Fax
(310) 453-2519
NPI assigned
Dec 27, 2007
Last updated
Dec 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Dr. Kerry K. Assil, M.D.NPI 1962436311
Title
Medical Director
Phone
(310) 453-8911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G62647 CA Primary

Addresses

Primary practice location

2222 Santa Monica Blvd
Suite 107
Santa Monica, CA 90404-2304

Mailing address

450 N Roxbury Dr
3Rd Floor
Beverly Hills, CA 90210-4232
Phone (310) 453-8911

Other names 1

  • Assil Eye Institute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kerry K Assil MD Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1467636365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N ROXBURY DR",
            "address_2": "3RD FLOOR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104232",
            "telephone_number": "310-453-8911",
            "fax_number": "310-453-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 SANTA MONICA BLVD",
            "address_2": "SUITE 107",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042304",
            "telephone_number": "310-453-8911",
            "fax_number": "310-453-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY K. ASSIL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "ASSIL",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-453-8911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G62647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assil Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.