St John Surgery Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ST JOHN SURGERY CENTER INC

Practice address

1023 S Mount Vernon Ave
Colton, CA 92324-4202

Phone

(909) 422-8015

Fax

(909) 422-0625

NPI assigned

Jan 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jamsheed J Shamloo, M.D.

Title

Owner

Phone

(909) 422-8015

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Anil D Mall, M.D.

  • Family Medicine Physician
  • Colton, CA
  • NPI 1285656900
  NPD (past)

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1720359151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917730699",
            "telephone_number": "909-971-9334",
            "fax_number": "909-575-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 S MOUNT VERNON AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244202",
            "telephone_number": "909-422-8015",
            "fax_number": "909-422-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHN SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "SHAMLOO",
        "authorized_official_first_name": "JAMSHEED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-422-8015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Coast Children'S Society, Inc.
• Southern California Emergency Medicine
• Marta Lukas Sovyanhadi
• Spectera
• Malinda Spradley
• Ashley Stading
• Ruth Ann Stanhiser, MD
• Petr Stastka, MD
• Alexander Stavropoulos, DO
• Roena Lisa Steele

• Ambulatory Surgical Clinic/Center in Colton, CA
• Providers in Colton, 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 Sep 28, 2015; 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.