Skin Surgery Center, a Medical Corporation

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SKIN SURGERY CENTER, A MEDICAL CORPORATION

Practice address

267 W Hillcrest Drive
Thousand Oaks, CA 91360

Phone

(805) 497-1694

Fax

(805) 449-4184

NPI assigned

Aug 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Andrew John Kaufman, MD

Title

Owner

Phone

(805) 497-1694

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 05C0001882

Legal name

SKIN SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Feb 14, 2007

Last certification

Nov 7, 2017

Ownership / control type

Proprietary

Facility address

267 W Hillcrest
Thousand Oaks, CA 91360

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1740470053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 W HILLCREST DRIVE",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "805-497-1694",
            "fax_number": "805-449-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 W HILLCREST DRIVE",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "805-497-1694",
            "fax_number": "805-449-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN SURGERY CENTER, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-497-1694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Lee Sinn, DPT
• Sirez Medical, Inc.
• Aleen Sisakian, MD
• Robert S. Sitarz, MD
• Vicki Skelton, M.S., L.M.F.T.
• Mary L Skinner
• Max L Skinner
• Tyler Bruce Slamans, DC
• Sleep Assist, Inc.
• Sleep Assist, Inc.

• Ambulatory Surgical Clinic/Center in Thousand Oaks, CA
• Providers in Thousand Oaks, 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 Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.