Affiliated Surgical Associates, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

AFFILIATED SURGICAL ASSOCIATES, PC

Practice address

760 Las Posas Rd Ste C
Camarillo, CA 93010-2910

Phone

(805) 620-1000

Fax

(805) 209-2741

NPI assigned

Jun 4, 2007

Last updated

Jun 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terry Lidvin Simpson, MDNPI 1649343146

Title

President/Ceo

Phone

(805) 620-1000

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terry Lidvin Simpson, MD., FACS

  • Surgery Physician
  • Camarillo, CA
  • NPI 1649343146
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1841492543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2674 E MAIN ST STE E-928",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032820",
            "telephone_number": "805-620-1000",
            "fax_number": "805-209-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 LAS POSAS RD STE C",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102910",
            "telephone_number": "805-620-1000",
            "fax_number": "805-209-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED SURGICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LIDVIN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "805-620-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "21784",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.