Organization Active NPI

Cea Surgical Services, Inc

  • Plastic and Reconstructive Surgery Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1831664689
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
CEA SURGICAL SERVICES, INC
Practice address
10888 Foothill Blvd Ste 180
Rancho Cucamonga, CA 91730-7651
Phone
(909) 463-0715
Fax
(909) 463-0675
NPI assigned
Oct 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Dr. Cesar E Aguiluz, DO
Title
President
Phone
(310) 600-6664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

10888 Foothill Blvd Ste 180
Rancho Cucamonga, CA 91730-7651

Mailing address

10888 Foothill Blvd Ste 180
Rancho Cucamonga, CA 91730-7651
Phone (909) 463-0715

Other names 1

  • CEA Surgical Other name

National Provider Directory

National Provider Directory

Locations

1936 Huntington Dr
Ste B
South Pasadena, CA 91030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1831664689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10888 FOOTHILL BLVD STE 180",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307651",
            "telephone_number": "909-463-0715",
            "fax_number": "909-463-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10888 FOOTHILL BLVD STE 180",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307651",
            "telephone_number": "909-463-0715",
            "fax_number": "909-463-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEA SURGICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "AGUILUZ",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-600-6664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CEA Surgical",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CEA Surgical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.