Organization Active NPI

Surgery Centers of Imperial Valley Inc

  • Ambulatory Surgical Clinic/Center
  • Imperial, CA
National Provider Identifier
1639613128
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A101939 Issued in CA
Legal business name
SURGERY CENTERS OF IMPERIAL VALLEY INC
Practice address
2402 Business Parkway
Suite 101
Imperial, CA 92251
Phone
(760) 351-8669
Fax
(760) 351-8994
NPI assigned
Dec 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Authorized official

Name
Dr. Sayed MonisNPI 1942480231
Title
Ceo
Phone
(760) 351-8669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A101939 CA Primary

Addresses

Primary practice location

2402 Business Parkway
Suite 101
Imperial, CA 92251

Mailing address

2402 Business Parkway
Suite 101
Imperial, CA 92251
Phone (760) 351-8669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180611001454 CA Part B Supplier - Ambulatory Surgical Center 7315292687 Receives reassigned benefits from 1 practitioner
Practice locations: Imperial, CA

National Provider Directory

National Provider Directory

Locations

2402 Imperial Business Park Dr
Ste 102
Imperial, CA 92251

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1639613128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 BUSINESS PARKWAY",
            "address_2": "SUITE 101",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "92251",
            "telephone_number": "760-351-8669",
            "fax_number": "760-351-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 BUSINESS PARKWAY",
            "address_2": "SUITE 101",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "92251",
            "telephone_number": "760-351-8669",
            "fax_number": "760-351-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTERS OF IMPERIAL VALLEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "MONIS",
        "authorized_official_first_name": "SAYED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-351-8669",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A101939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.