Academic Surgical Associates Inc.

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

Legal business name

ACADEMIC SURGICAL ASSOCIATES INC.

Doing business as

Academic Surgical Associates Inc.

Practice address

1505 Wilson Ter Ste 150
Glendale, CA 91206-4076

Phone

(818) 484-8611

Fax

(818) 484-8611

NPI assigned

May 17, 2019

Last updated

May 17, 2019By 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

Avo Artinyan, MDNPI 1609934942

Title

President/Ceo

Phone

(818) 606-2200

Specialties & licenses 1

Addresses

Other names 1

• ACADEMIC SURGICAL ASSOCIATES INC. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

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.

• Avo Artinyan, MD

  • Surgical Oncology Physician
  • Duarte, CA
  • NPI 1609934942
  Medicare reassignment Care Compare group NPD Authorized official
• Atlee Mitchell, NP

  • Acute Care Nurse Practitioner
  • Los Angeles, CA
  • NPI 1477358059

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Natalie Seiser, MD

  • Surgical Oncology Physician
  • Glendale, CA
  • NPI 1255571949
  Medicare reassignment Care Compare group NPD
• Farzad Alemi, MD

  • Surgery Physician
  • Lynwood, CA
  • NPI 1861525511
  Medicare reassignment NPD

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1841856523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 COLINA DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082410",
            "telephone_number": "818-606-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER STE 150",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064076",
            "telephone_number": "818-484-8611",
            "fax_number": "818-484-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMIC SURGICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "ARTINYAN",
        "authorized_official_first_name": "AVO",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-606-2200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACADEMIC SURGICAL ASSOCIATES INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgical Oncology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Surgical Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.