Organization Active NPI

Bionic Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • Tarzana, CA
National Provider Identifier
1801419288
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Apr 28, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
648832OtherJOINT COMMISSION

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL BIONICASC@YAHOO.COM

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.