SC Surgery Network, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SC SURGERY NETWORK, INC.

Practice address

207 W Legion Rd
Brawley, CA 92227-7780

Phone

(760) 351-3333

NPI assigned

Sep 27, 2023

Organization subpart

No

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

Authorized official

Name

Roukaya Tarek Hassanein, MDNPI 1114454519

Title

Owner

Phone

(858) 342-9211

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Roukaya Tarek Hassanein, MD

  • Surgery Physician
  • Brawley, CA
  • NPI 1114454519

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1841079936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 724",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920750724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W LEGION RD",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277780",
            "telephone_number": "760-351-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC SURGERY NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "HASSANEIN",
        "authorized_official_first_name": "ROUKAYA",
        "authorized_official_middle_name": "TAREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-342-9211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Saldivar
• Anna Massey San Pedro, M.A. LMFT
• Sabrina Marie Lira Sanchez
• Brian F Sanders, D.P.T.
• Zenaida Salao Santos, PT
• Theodore Louis Schlater III, M.D.
• Jacob Matthew Scholl, PA
• Natalie Marie Serra, CRNA
• Melinda Serrano, CRNA
• Shannon J Daughtry DDS Inc

• Surgery Physician in Brawley, CA
• Providers in Brawley, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.