Active NPI
Los Angeles Surgical Center
- Vascular & Interventional Radiology Physician
- Inglewood, CA
National Provider Identifier
1619809563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- LOS ANGELES SURGICAL CENTER
- Practice address
- 323 N Prairie Ave Ste 114
Inglewood, CA 90301-4503 - Phone
- (949) 436-5630
- NPI assigned
- Jun 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Hewett, MD
- Title
- Medical Director
- Phone
- (949) 394-5018
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | Primary | ||
| Vascular Surgery Physician | 2086S0129X |
Addresses
Primary practice location
323 N Prairie Ave Ste 114
Inglewood, CA 90301-4503
Mailing address
2549 Eastbluff Dr Ste 337
Newport Beach, CA 92660-3500
Phone (949) 436-5630
National Provider Directory
National Provider DirectoryLocations
2549 Eastbluff Dr
Ste 337
Newport Beach, CA 92660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780358400000",
"number": "1619809563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2549 EASTBLUFF DR STE 337",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926603500",
"telephone_number": "949-436-5630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 N PRAIRIE AVE STE 114",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903014503",
"telephone_number": "949-436-5630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOS ANGELES SURGICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-02",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A",
"authorized_official_last_name": "HEWETT",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "949-394-5018",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inglewood, CA
- Los Angeles County Department of Mental Health
- Los Angeles Drug Treatment Center
- Los Angeles Multispecialty Medical Group
- Los Angeles Ophthalmology Medical Group, Inc.
- Los Angeles Peripheral Arterial Disease Center Medical Group
- Los Angeles Wide Community Support Services LLC
- Mark Lott, M.D.
- Matthew J Lotysch, M.D.
- Mae-Lae Louie, O.D.
- Erminthe Louis Charles, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.