Active NPI
Southern California Surgical Specialists, Inc.
- Surgery Physician
- Pasadena, CA
National Provider Identifier
1700910262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A62828
- Legal business name
- SOUTHERN CALIFORNIA SURGICAL SPECIALISTS, INC.
- Practice address
- 1044 S Fair Oaks Ave
Suite 301
Pasadena, CA 91105-2622 - Phone
- (626) 795-9023
- Fax
- (626) 797-1731
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Valerie Kwan
- Title
- Billing Manager
- Phone
- (310) 360-3922
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A62828 | CA | Primary |
Addresses
Primary practice location
1044 S Fair Oaks Ave
Suite 301
Pasadena, CA 91105-2622
Mailing address
1044 South Fair Oaks Ave
Suite 301
Pasadena, CA 91105-2622
Phone (626) 795-9023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1044 S Fair Oaks Ave
Ste 307
Pasadena, CA 91105
Phone (626) 795-9023
1044 S Fair Oaks Ave
Ste 301
Pasadena, CA 91105
Phone (626) 795-9023
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": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251936000000",
"number": "1700910262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1044 SOUTH FAIR OAKS AVE",
"address_2": "SUITE 301",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052622",
"telephone_number": "626-795-9023",
"fax_number": "626-797-1731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 S FAIR OAKS AVE",
"address_2": "SUITE 301",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052622",
"telephone_number": "626-795-9023",
"fax_number": "626-797-1731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN CALIFORNIA SURGICAL SPECIALISTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2009-09-03",
"status": "A",
"authorized_official_last_name": "KWAN",
"authorized_official_first_name": "VALERIE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "310-360-3922"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "A62828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
- Southern California Neurosurgical Associates, Inc
- Southern California Permanente Medical Group
- Southern California Pioneer Health PC
- Southern California Psychodiagnostics, LLC
- Southern California Surgical Specialists, Inc
- Southern California TMS Center Inc
- Southern Counties Neurosurgical Associates Medical Group, Inc
- John Sovec, LMFT
- Zetha Sovyanhadi, MD
- Dorothea Elisabeth Spambalg, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.