Organization Active NPI

Medical Plaza Orthopedic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1780636811
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MEDICAL PLAZA ORTHOPEDIC SURGERY CENTER
Practice address
1301 20TH St
,#140
Santa Monica, CA 90404-2050
Phone
(310) 829-2663
Fax
(858) 225-0292
NPI assigned
May 17, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Sharon Ornela
Title
Dir Reimbursement
Phone
(310) 829-2664

Specialties & licenses 1

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

Addresses

Primary practice location

1301 20TH St
,#140
Santa Monica, CA 90404-2050

Mailing address

1301 20TH St
,#140
Santa Monica, CA 90404-2050
Phone (310) 829-2663

National Provider Directory

National Provider Directory

Locations

1301 20th St
Ste 140
Santa Monica, CA 90404
Phone (213) 315-0187

1919 Santa Monica Blvd
Ste 350
Santa Monica, CA 90404

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780636811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 20TH ST",
            "address_2": ",#140",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042050",
            "telephone_number": "310-829-2663",
            "fax_number": "858-225-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST",
            "address_2": ",#140",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042050",
            "telephone_number": "310-829-2663",
            "fax_number": "858-225-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PLAZA ORTHOPEDIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ORNELA",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "DIR REIMBURSEMENT",
        "authorized_official_telephone_number": "310-829-2664"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.