Organization Active NPI

Surgical Institute of California

  • Specialist
  • Encino, CA
National Provider Identifier
1689695629
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SURGICAL INSTITUTE OF CALIFORNIA
Practice address
17203 Ventura Blvd Ste 2
Encino, CA 91316-4054
Phone
(818) 784-9200
Fax
(310) 247-9090
NPI assigned
Jul 23, 2006
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. Daryoush David Saadat, M.D.NPI 1134188295
Title
President
Phone
(310) 247-9090

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

17203 Ventura Blvd Ste 2
Encino, CA 91316-4054

Mailing address

311 N Robertson Blvd # 240
Beverly Hills, CA 90211-1705
Phone (310) 247-9090

National Provider Directory

National Provider Directory

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": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689695629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N ROBERTSON BLVD # 240",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111705",
            "telephone_number": "310-247-9090",
            "fax_number": "310-247-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17203 VENTURA BLVD STE 2",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164054",
            "telephone_number": "818-784-9200",
            "fax_number": "310-247-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL INSTITUTE OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAADAT",
        "authorized_official_first_name": "DARYOUSH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-247-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, 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.