Fashion Island Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FASHION ISLAND SURGERY CENTER, LLC

Practice address

302 W la Veta Ave Ste 100
Orange, CA 92866-2607

Phone

(661) 472-4177

Fax

(760) 262-3917

NPI assigned

Jun 22, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Elena C Serda

Title

Director

Phone

(661) 472-4177

Specialties & licenses 1

Addresses

Other names 1

• Surgery Center of Orange Doing business as

Locations

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1568844934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W LA VETA AVE STE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662607",
            "telephone_number": "661-472-4177",
            "fax_number": "760-262-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W LA VETA AVE STE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662607",
            "telephone_number": "661-472-4177",
            "fax_number": "760-262-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASHION ISLAND SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "SERDA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "661-472-4177",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Center of Orange",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Farshad Mazlomi DMD Inc
• Salma Ahmed Farukhi, MD
• Andre Farvin
• Cyrus Alan Farzaneh, M.D., M.B.A.
• Elena Farzin-Nia
• Folayemi Omobola Fashola, PHARM.D.
• Michelle Fast
• Beeta Fatehimanesh, FNP
• Ariana Fatemirad
• Alisan Fathalizadeh, M.D., M.P.H.

• Ambulatory Surgical Clinic/Center in Orange, CA
• Providers in Orange, 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 Jun 22, 2015; 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.