Imed Surgical of la PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

IMED SURGICAL OF LA PC

Practice address

8540 S Sepulveda Blvd Ste 900
Los Angeles, CA 90045-3808

Phone

(323) 287-9273

NPI assigned

Oct 15, 2019

Last updated

Sep 18, 2025By 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

Jennifer R Myers

Title

Clinical Compliance Manager

Phone

(631) 479-3496

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Jones

  • Plastic Surgery Physician
  • New York, NY
  • NPI 1134297484

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1619519212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1970",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101561970",
            "telephone_number": "323-287-9273",
            "fax_number": "917-791-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 900",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453808",
            "telephone_number": "323-287-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMED SURGICAL OF LA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "631-479-3496"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imars Medical Supply
• Vito Imbasciani, PHD, MD
• Kory A Imbrescia, DO
• Imces
• Imd Medical Group Inc
• Imedventures, LLC (iMedRecovery)
• Tania Imendia
• Marius Imfeld, L.AC.
• Imma Lactation, LLC
• Immaculate Care Center Inc

• Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.