San Diego Advanced Surgery P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A105847 Issued in CA

Legal business name

SAN DIEGO ADVANCED SURGERY P.C.

Practice address

3245 University Ave # 501
San Diego, CA 92104-2009

Phone

(858) 964-0661

NPI assigned

Dec 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Herman Skorobogaty, M.D.

Title

President

Phone

(916) 471-9150

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6052/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1588909097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 UNIVERSITY AVE # 501",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 UNIVERSITY AVE # 501",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042009",
            "telephone_number": "858-964-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO ADVANCED SURGERY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "SKOROBOGATY",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-471-9150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A105847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Samuels Sr., P.P.S.
• Lauren Samuels
• Duane Samuelson, RPH
• San Diego Acupuncture and Natural Medicine
• San Diego Acupuncture and Natural Medicine
• San Diego Air Support Inc
• San Diego Ambulance LLC
• San Diego Ambulatory Surgery Center
• San Diego Ambulatory Surgery Center LLC
• San Diego American Indian Health Center

• Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.