Active NPI
San Diego Sports and Minimally Invasive Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- San Diego, CA
National Provider Identifier
1801045430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SAN DIEGO SPORTS AND MINIMALLY INVASIVE SURGERY CENTER LLC
- Practice address
- 3939 Ruffin Rd
Suite 100
San Diego, CA 92123-1815 - Phone
- (858) 449-4071
- NPI assigned
- Sep 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Marc D Jang
- Title
- President & Ceo
- Phone
- (916) 614-3608
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
3939 Ruffin Rd
Suite 100
San Diego, CA 92123-1815
Mailing address
3939 Ruffin Rd
Suite 100
San Diego, CA 92123-1815
Other names 1
- SMI Surgery Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- San Diego, CA
- NPI 1538274709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221696000000",
"number": "1801045430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3939 RUFFIN RD",
"address_2": "SUITE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 RUFFIN RD",
"address_2": "SUITE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231815",
"telephone_number": "858-449-4071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN DIEGO SPORTS AND MINIMALLY INVASIVE SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-18",
"last_updated": "2008-09-18",
"status": "A",
"authorized_official_last_name": "JANG",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "916-614-3608",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SMI Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
- San Diego Spinal Care
- San Diego Spine and Wellness Center
- San Diego Spine Center
- San Diego Spine Center, AMC
- San Diego Sports Acupuncture, Inc
- San Diego Sports Medicine & Orthopaedic Center
- San Diego Sports Medicine & Orthopaedic Center Inc.
- San Diego Sports Physical Therapy, PC
- San Diego State University
- San Diego State University
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.