NPIMap

Organization Active NPI

Imagebased Surgicenter Corporation

  • Ambulatory Surgical Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1679624233
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0000694940-AAAHC Issued in CA
Legal business name
IMAGEBASED SURGICENTER CORPORATION
Practice address
2716 Ocean Park Blvd
Suite 1007
Santa Monica, CA 90405-5207
Phone
(310) 314-6410
Fax
(310) 314-2414
NPI assigned
Jan 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Aaron Gershon Filler, M.D. PH.D.NPI 1225189871
Title
Medical Director
Phone
(310) 314-6410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0000694940-AAAHC CA Primary

Addresses

Primary practice location

2716 Ocean Park Blvd
Suite 1007
Santa Monica, CA 90405-5207

Mailing address

2716 Ocean Park Blvd
Suite 1007
Santa Monica, CA 90405-5207
Phone (310) 314-6410

National Provider Directory

National Provider Directory

Locations

2716 Ocean Park Blvd
Ste 1007
Santa Monica, CA 90405
Phone (310) 314-6410

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679624233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 OCEAN PARK BLVD",
            "address_2": "SUITE 1007",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055207",
            "telephone_number": "310-314-6410",
            "fax_number": "310-314-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 OCEAN PARK BLVD",
            "address_2": "SUITE 1007",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055207",
            "telephone_number": "310-314-6410",
            "fax_number": "310-314-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGEBASED SURGICENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FILLER",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "GERSHON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-314-6410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. PH.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "0000694940-AAAHC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • 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.