Imagebased Surgicenter Corporation

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

Organization subpart

No

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.

Title

Medical Director

Phone

(310) 314-6410

Specialties & licenses 1

Addresses

Locations

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": []
}

• Monica Ibarra, MSW
• Beverly Ibeh
• Emily Iker, MD
• Yashar Ilkhchoui, M.D.
• Taylin Eun-Hae Im
• Elika Imandel, RDN
• Immunology Diagnostics LLC
• Jessica Improta, LCSW
• Gina Kim In, MD
• Infortel Medical Group

• Ambulatory Surgical Clinic/Center in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Ambulatory Surgical Clinic/Center 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.