Docs Surgical Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

DOCS SURGICAL HOSPITAL

Practice address

6000 San Vicente Blvd
Los Angeles, CA 90036-4404

Phone

(323) 930-1040

Fax

(323) 934-9137

NPI assigned

Oct 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Khawar Siddique, MDNPI 1548214570

Title

Ceo/Managing Partner

Phone

(310) 746-5918

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 050681

Legal name

SAN VICENTE HOSPITAL

Certification status

Terminated Voluntary: merger or closure, Mar 31, 2005

Provider type (POS)

Hospital – Short-term

Participating since

Feb 25, 1988

Last certification

Aug 1, 2000

Beds

17

Ownership / control type

Private (for profit)

Facility address

6000 San Vicente Blvd
Los Angeles, CA 90036

Listed as

Docs Surgical HospitalCCN 050785

Type

Acute Care Hospitals

Ownership

Physician

Medicare certification status

Terminated Voluntary: merger or closure, Jan 1, 2025From the Provider of Services file

Emergency services

No

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/miracle-a06f6fc8

Practitioners 2

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

• Khawar Siddique, M.D.

  • Neurological Surgery Physician
  • Los Angeles, CA
  • NPI 1548214570
  NPD Authorized official
• Jason Cameron Snibbe, MD

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
  • NPI 1932271970
  NPD (past)

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1528533254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8436 W 3RD ST STE 900",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 SAN VICENTE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364404",
            "telephone_number": "323-930-1040",
            "fax_number": "323-934-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCS SURGICAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUE",
        "authorized_official_first_name": "KHAWAR",
        "authorized_official_title_or_position": "CEO/MANAGING PARTNER",
        "authorized_official_telephone_number": "310-746-5918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Rae Docherty
• Erica C. Docimo, L.AC.
• Marrisha Dockery
• Docrd L.L.C.
• Docs Health Medical Group
• Doctor Bogard Chang Optometry Inc
• Doctor Charles Gruver, Incorporated
• Doctor Gwendolyn Yee Chang Optometry, a Professional Corporation (ClearSight Optometry)
• Doctor Joseph Enayati, Inc (Beverly Hills Advanced Pain and Spine)
• Doctor Matthews Inc

• General Acute Care Hospital in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.