Winston C San Agustin, M.D Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A039652 Issued in CA

Legal business name

WINSTON C SAN AGUSTIN, M.D INC

Practice address

500 N Garfield Ave
Suite 102
Monterey Park, CA 91754-1242

Phone

(626) 288-9701

Fax

(626) 288-9705

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Elizabeth Ilizaliturri

Title

Secretary

Phone

(626) 458-1207

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598984049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2168 S ATLANTIC BLVD",
            "address_2": "PMB 309",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546839",
            "telephone_number": "626-458-1207",
            "fax_number": "626-458-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N GARFIELD AVE",
            "address_2": "SUITE 102",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541242",
            "telephone_number": "626-288-9701",
            "fax_number": "626-288-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSTON C SAN AGUSTIN, M.D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ILIZALITURRI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "626-458-1207"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A039652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861573453",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurological Surgery Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.