Arcadia Surgical Associates

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G57027 Issued in CA

Legal business name

ARCADIA SURGICAL ASSOCIATES

Practice address

612 W Duarte Rd
Suite 602
Arcadia, CA 91007-7602

Phone

(626) 446-4645

Fax

(626) 446-1626

NPI assigned

Aug 12, 2006

Last updated

Nov 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth W Lee, MDNPI 1528087129

Title

Owner

Phone

(626) 446-4645

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 4

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.

• Elizabeth W Lee, MD

  • Surgery Physician
  • Arcadia, CA
  • NPI 1528087129
  Medicare reassignment NPD Authorized official
• Robert H Papadopoulos, M.D.

  • Surgery Physician
  • Arcadia, CA
  • NPI 1235142951
  Medicare reassignment NPD
• Jon Sands Tyrell, M.D.

  • Surgery Physician
  • Nashville, TN
  • NPI 1033129945

  CA

  Medicare reassignment NPD
• Richard B Deatsch, M.D.

  • Surgery Physician
  • Arcadia, CA
  • NPI 1841202520
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1487666079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W DUARTE RD",
            "address_2": "SUITE 602",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077602",
            "telephone_number": "626-446-4645",
            "fax_number": "626-446-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W DUARTE RD",
            "address_2": "SUITE 602",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077602",
            "telephone_number": "626-446-4645",
            "fax_number": "626-446-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCADIA SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2022-11-07",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-446-4645",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G57027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arcadia Pediatric Medical Group, Inc.
• Arcadia Physical Therapy LLC
• Arcadia Primary Care Physicians Medical Corporation
• Arcadia Radiology Medical Group a Professional Corporation
• Arcadia Spine Institute, Inc.
• Arcadia Surgical Medical Center LLC
• Arcadia Unified School District
• Arce Urgent Care
• William Clark Ardary, MD DDS
• Iris Marie Arenivas, RDA

• Surgery Physician in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.