Sea Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SEA SURGERY CENTER, LLC

Practice address

770 Pacific Coast Hwy
Seal Beach, CA 90740-6215

Phone

(562) 352-8396

Fax

(562) 217-4499

NPI assigned

Dec 2, 2013

Last updated

Dec 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jack Shohet, MDNPI 1346325180

Title

Medical Director

Phone

(562) 352-8396

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Sea Surgery Center LLCCCN 05C0002082

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 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.

• Jack A Shohet, M.D.

  • Otology & Neurotology Physician
  • Newport Beach, CA
  • NPI 1346325180
  NPD Authorized official

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1750712667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 PACIFIC COAST HWY",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406215",
            "telephone_number": "562-352-8396",
            "fax_number": "562-217-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PACIFIC COAST HWY",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406215",
            "telephone_number": "562-352-8396",
            "fax_number": "562-217-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "SHOHET",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-352-8396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Lee Scheid, D.C.
• Mihaela Ioana Schneider, PSYD
• Consuelo Schroder
• Charro Scott, PT, DPT
• Eric Michael Scott, DDS
• Seal Beach Acupuncture Inc.
• Seal Beach Counseling Inc
• Seal Beach Drug (BOBS REXALL DRUG Seal Beach Rexall)
• Seal Beach Eyes Optometry Inc
• Seal Beach Family Medical Group, Inc.

• Ambulatory Surgical Clinic/Center in Seal Beach, CA
• Providers in Seal Beach, 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 Dec 2, 2013; 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.