Ocean Park Surgical Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

OCEAN PARK SURGICAL CENTER, INC.

Practice address

322 Lincoln Blvd
Venice, CA 90291-2828

Phone

(310) 399-7192

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Steven Florman, M.D.

Title

Medical Director

Phone

(310) 471-5852

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 05C0001857

Legal name

OCEAN PARK SURGICAL CENTER, INC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

May 28, 2008

Last certification

May 28, 2008

Ownership / control type

Proprietary

Facility address

322 Lincoln Blvd
Venice, CA 90291

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497844625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11999 SAN VICENTE BLVD",
            "address_2": "#440",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495131",
            "telephone_number": "310-471-5852",
            "fax_number": "310-471-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 LINCOLN BLVD",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902912828",
            "telephone_number": "310-399-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN PARK SURGICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLORMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-471-5852",
        "authorized_official_name_prefix": "Mr.",
        "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": []
}

• Mary June Aguirre Nocete, RPT
• Garth K Norman
• Aileen Pahola Nunez
• Nazaret Nunez
• Vernon O'Neal Jr.
• Oceanview Adult Day Health Care Center
• Oceanview Healthcare
• Lilian Ore
• Keith Orr Jr.
• Zaira Yazmin Ortega Orejel, MD

• Ambulatory Surgical Clinic/Center in Venice, CA
• Providers in Venice, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.