Elitecare Surgical Group, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A82405 Issued in CA

Legal business name

ELITECARE SURGICAL GROUP, INC

Practice address

25 S Raymond Ave Ste 110
Alhambra, CA 91801-7142

Phone

(626) 233-2853

Fax

(626) 626-7773

NPI assigned

Jul 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Steve Sang-Woo Bae, MDNPI 1326072349

Title

Medical Director

Phone

(626) 233-2853

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steve Sang-Woo Bae, M.D.

  • Surgery Physician
  • Alhambra, CA
  • NPI 1326072349
  Medicare reassignment Authorized official
• Gary T. Lai, M.D.

  • Internal Medicine Physician
  • Chino, CA
  • NPI 1245332220
  NPD (past)

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715990400000",
    "number": "1508022435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S RAYMOND AVE STE 110",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017142",
            "telephone_number": "626-233-2853",
            "fax_number": "626-626-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S RAYMOND AVE STE 110",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017142",
            "telephone_number": "626-233-2853",
            "fax_number": "626-626-7773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1661 Hanover Rd Ste 227",
            "address_purpose": "LOCATION",
            "city": "City Of Industry",
            "state": "CA",
            "postal_code": "917481735",
            "country_code": "US",
            "telephone_number": "626-233-2853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITECARE SURGICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2024-05-18",
        "certification_date": "2024-05-18",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "SANG-WOO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-233-2853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A82405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Ebert, LPCC, PPS
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• Edmund Lo MD Inc
• Edward M. Lai., a Medical Corporation
• Elegant Bee Health Consultation Inc
• Lesley Elliott
• Luz Mayela Ellsworth, BCBA
• Nathaniel Lawrence Ely
• Enhanced Care Management
• Enki Health and Research Systems, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2024; 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.