Southern California Advanced Laparo Endoscopic Surgery

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SOUTHERN CALIFORNIA ADVANCED LAPARO ENDOSCOPIC SURGERY

Practice address

415 Rolling Oaks Dr
Suite 240
Thousand Oaks, CA 91361-1029

Phone

(805) 230-0030

Fax

(805) 306-1849

NPI assigned

May 31, 2007

Last updated

Aug 22, 2020By 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

Dina Cardilino

Title

Administrator

Phone

(805) 306-1849

Specialties & licenses 1

Addresses

Other names 1

• SCALES Other name

Locations

Practitioners 2

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.

• Matthew Alan Lublin, M.D.

  • Surgery Physician
  • Santa Monica, CA
  • NPI 1992741813
  NPD (past)
• Donald Waldrep, M.D.

  • Surgery Physician
  • Thousand Oaks, CA
  • NPI 1679630446
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649471061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 ROLLING OAKS DR",
            "address_2": "SUITE 240",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611029",
            "telephone_number": "805-230-0030",
            "fax_number": "805-306-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ROLLING OAKS DR",
            "address_2": "SUITE 240",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611029",
            "telephone_number": "805-230-0030",
            "fax_number": "805-306-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA ADVANCED LAPARO ENDOSCOPIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARDILINO",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-306-1849"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCALES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jocelin Carmen Soto
• Asma Bent Taouf Souissi, M.D.
• Fahim Soukhak, MD
• Albert Lawrence Soulema, DDS
• Sound Inpatient Physicians Medical Group, Inc (Sound Physicians)
• Southern California Anesthesia & Pain Management, Inc
• Southern California Orthopedic Institute, LP
• Southern California Orthopedic Institute, LP
• Southern California Pulmonary and Sleep Disorders Medical Center Inc.
• Spadaro & Weisz a Medical Corporation

• Surgery Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• 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.