NPIMap

Organization Active NPI

Twin Pelican Surgical Group

  • Ambulatory Surgical Clinic/Center
  • Bell Gardens, CA
National Provider Identifier
1730578253
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A52488 Issued in CA
Legal business name
TWIN PELICAN SURGICAL GROUP
Practice address
7916 Eastern Ave Ste 102
Bell Gardens, CA 90201-5464
Phone
(562) 928-7060
NPI assigned
Jan 21, 2015
Last updated
Jan 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Dr. Fred Sahafi, M.DNPI 1992004055
Title
Medical Director/ Owner
Phone
(562) 928-7060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A52488 CA Primary

Addresses

Primary practice location

7916 Eastern Ave Ste 102
Bell Gardens, CA 90201-5464

Mailing address

7916 Eastern Ave Ste 102
Bell Gardens, CA 90201-5464
Phone (562) 928-7060

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1730578253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 EASTERN AVE STE 102",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902015464",
            "telephone_number": "562-928-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 EASTERN AVE STE 102",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902015464",
            "telephone_number": "562-928-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN PELICAN SURGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "SAHAFI",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "562-928-7060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A52488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bell Gardens, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.