Active NPI
Bionic Surgery Center Inc
- Ambulatory Surgical Clinic/Center
- Tarzana, CA
National Provider Identifier
1801419288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- BIONIC SURGERY CENTER INC
- Practice address
- 5620 Wilbur Ave
Suite 305
Tarzana, CA 91356-1311 - Phone
- (818) 578-5125
- Fax
- (818) 578-6039
- NPI assigned
- May 20, 2020
- 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
- Dr. Fardin Hakakian, DPM
- Title
- Cfo
- Phone
- (818) 578-5125
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
5620 Wilbur Ave
Suite 305
Tarzana, CA 91356-1311
Mailing address
5620 Wilbur Ave
Suite 305
Tarzana, CA 91356-1311
Phone (818) 578-5125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 648832 | Other | JOINT COMMISSION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | BIONICASC@YAHOO.COM |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619568000000",
"number": "1801419288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5620 WILBUR AVE",
"address_2": "SUITE 305",
"city": "TARZANA",
"state": "CA",
"postal_code": "913561311",
"telephone_number": "818-578-5125",
"fax_number": "818-578-6039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5620 WILBUR AVE",
"address_2": "SUITE 305",
"city": "TARZANA",
"state": "CA",
"postal_code": "913561311",
"telephone_number": "818-578-5125",
"fax_number": "818-578-6039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIONIC SURGERY CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-20",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A",
"authorized_official_last_name": "HAKAKIAN",
"authorized_official_first_name": "FARDIN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "818-578-5125",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOINT COMMISSION",
"identifier": "648832",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "BIONICASC@YAHOO.COM",
"affiliation": "N",
"address_1": "5620 Wilbur Ave Ste 305",
"city": "Tarzana",
"state": "CA",
"country_code": "US",
"postal_code": "913561311",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.