Sideout Surgery Center Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SIDEOUT SURGERY CENTER INC.

Practice address

1200 Rosecrans Ave
Suite 110
Manhattan Beach, CA 90266-2462

Phone

(714) 769-8400

Fax

(714) 482-6127

NPI assigned

Oct 1, 2013

Last updated

Oct 1, 2013By 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

Frank Giacobetti, M.D.

Title

Ceo

Phone

(714) 769-8400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1538596986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE",
            "address_2": "SUITE 110",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662462",
            "telephone_number": "714-769-8400",
            "fax_number": "714-482-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE",
            "address_2": "SUITE 110",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662462",
            "telephone_number": "714-769-8400",
            "fax_number": "714-482-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDEOUT SURGERY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "GIACOBETTI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-769-8400",
        "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": []
}

• Deborah Maxine Shaw, PH.D.
• Casey Sherman, MD
• Brandon Shiau, MD
• Barbara J Shigekuni, O.D.
• Ahad Shiraz
• Patricia Sievers, DAOM, L.AC.
• Mitra Elisha Simanian, DDS
• Gaelle Anne Simmonds, OTR/L
• Sinan Denny-Brown MD
• Hanon Sinay, M.D.

• Ambulatory Surgical Clinic/Center in Manhattan Beach, CA
• Providers in Manhattan Beach, 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 Oct 1, 2013; 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.