Encino Surgicenter a Medical Group

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

S051273 Issued in CA

Legal business name

ENCINO SURGICENTER A MEDICAL GROUP

Practice address

16633 Ventura Blvd
Ste 110
Encino, CA 91436

Phone

(818) 981-3333

Fax

(818) 981-0249

NPI assigned

Sep 7, 2006

Last updated

Feb 15, 2011By 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

Stephen D Bresnick, MDNPI 1831292275

Title

Plastic Recon Surgeon

Phone

(818) 981-3333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Encino Surgicenter a Medical GroupCCN 05C0001273

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 2

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.

• Stephen D Bresnick, MD

  • Plastic Surgery Physician
  • Encino, CA
  • NPI 1831292275
  NPD (past) Authorized official
• George H Sanders, MD

  • Plastic Surgery Physician
  • Encino, CA
  • NPI 1548350366
  NPD

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1780787218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16633 VENTURA BLVD",
            "address_2": "STE 110",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-981-3333",
            "fax_number": "818-981-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16633 VENTURA BLVD",
            "address_2": "STE 110",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-981-3333",
            "fax_number": "818-981-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCINO SURGICENTER A MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "BRESNICK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PLASTIC RECON SURGEON",
        "authorized_official_telephone_number": "818-981-3333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "S051273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Encino Spine & Pain Surgery Center
• Encino Sports Medicine Group, Inc.
• Encino Surgery Center, Inc
• Encino Surgical Center LLC
• Encino Surgical Institute,a.M.C
• Encino Terrace, LLC (NA)
• Encino Total Dentistry
• Encino Valley Hospice, Inc.
• Encino-Tarzana Urgent Care Center, Inc.
• Harry E Enenstein, O. D.

• Clinic/Center in Encino, CA
• Providers in Encino, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.