Pacific Palisades Surgery Center and Medical Group Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

S051575 Issued in CA

Legal business name

PACIFIC PALISADES SURGERY CENTER AND MEDICAL GROUP INC

Doing business as

Pacific Surgery Center of Santa Monica

Practice address

2021 Santa Monica Blvd
Suite 724E
Santa Monica, CA 90404-2208

Phone

(310) 829-9060

Fax

(310) 829-9015

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia A. Boxrud, M.D.NPI 1902950405

Title

Director

Phone

(310) 829-9060

Specialties & licenses 1

Addresses

Other names 1

• Pacific Surgery Center of Santa Monica Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Pacific Surgery Center of SantCCN 05C0001575

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia A. Boxrud, MD

  • Ophthalmology Physician
  • Santa Monica, CA
  • NPI 1902950405
  NPD Authorized official
• Scott Evan Powell, M.D.

  • Specialist
  • Santa Monica, CA
  • NPI 1730225665
  NPD
• Christian James Sanfilippo, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Encino, CA
  • NPI 1851653547
  NPD

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1689795312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD STE 724E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042170",
            "telephone_number": "310-829-9060",
            "fax_number": "310-829-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD",
            "address_2": "SUITE 724E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042208",
            "telephone_number": "310-829-9060",
            "fax_number": "310-829-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PALISADES SURGERY CENTER AND MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "BOXRUD",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-829-9060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "S051575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Surgery Center of Santa Monica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pacific Integrative Medical Group Inc
• Pacific Marriage & Family Therapy Network, a Professional Corporation (Pacific MFT Network)
• Pacific Medical and Nephrology Associates Inc.
• Pacific Ocean Pediatrics
• Pacific Orthodontics, LLC (Pacific Orthodontic Group)
• Pacific Surgicenter
• Pacific View Recovery Center
• Pacific Wellcare Physical Therapy
• Pacific Wellness Group a Professional Marriage & Family Therapy Corp (Pacific Wellness Group)
• Alexander Pack, LMFT

• 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 Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.