Organization Active NPI

Advanced Therapy Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1679940233
Registry record updated Aug 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
72676 Issued in CA
Legal business name
ADVANCED THERAPY SURGERY CENTER INC
Practice address
804 7TH St
Suite B
Santa Monica, CA 90403-1408
Phone
(310) 998-5533
NPI assigned
Aug 29, 2015
Last updated
Aug 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2015

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

Authorized official

Name
Dr. Raffy Karamanoukian, MD
Title
President
Phone
(310) 998-5533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 72676 CA Primary

Addresses

Primary practice location

804 7TH St
Suite B
Santa Monica, CA 90403-1408

Mailing address

804 7TH St
Suite B
Santa Monica, CA 90403-1408
Phone (310) 998-5533

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2097839Advanced Therapy Surgery Center, Inc804 7TH St Ste B, Santa Monica, CA 90403Certificate of waiverJun 23, 2027

National Provider Directory

National Provider Directory

Locations

804 7th St
Ste B
Santa Monica, CA 90403
Phone (310) 998-5533

NPI Registry JSON

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

{
    "created_epoch": "1440806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440806400000",
    "number": "1679940233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 7TH ST",
            "address_2": "SUITE B",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031408",
            "telephone_number": "310-998-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 7TH ST",
            "address_2": "SUITE B",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031408",
            "telephone_number": "310-998-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED THERAPY SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-29",
        "last_updated": "2015-08-29",
        "status": "A",
        "authorized_official_last_name": "KARAMANOUKIAN",
        "authorized_official_first_name": "RAFFY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-998-5533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "72676",
            "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 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.