Organization Active NPI

Westside Surgical Services LLC

  • Surgery Physician
  • Ewa Beach, HI
National Provider Identifier
1851595805
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD-14318 Issued in HI
Legal business name
WESTSIDE SURGICAL SERVICES LLC
Practice address
St. Francis Medical Plaza
91-2139 Ft. Weaver Road, Suite 310
Ewa Beach, HI 96706
Phone
(808) 295-5636
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ross D. Simafranca, M.D.NPI 1316149123
Title
Manager
Phone
(808) 295-5636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD-14318 HI Primary

Addresses

Primary practice location

St. Francis Medical Plaza
91-2139 Ft. Weaver Road, Suite 310
Ewa Beach, HI 96706

Mailing address

St. Francis Medical Plaza
91-2139 Ft. Weaver Road, Suite 310
Ewa Beach, HI 96706
Phone (808) 295-5636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071024000609 HI Part B Supplier - Clinic/Group Practice 7416044342 Receives reassigned benefits from 1 practitioner
Practice locations: Wahiawa, HI; Ewa Beach, HI; Aiea, HI

National Provider Directory

National Provider Directory

Locations

91-2139 Fort Weaver Rd
Ste 310
Ewa Beach, HI 96706
Phone (808) 295-5636

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851595805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ST. FRANCIS MEDICAL PLAZA",
            "address_2": "91-2139 FT. WEAVER ROAD, SUITE 310",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "96706",
            "telephone_number": "808-295-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. FRANCIS MEDICAL PLAZA",
            "address_2": "91-2139 FT. WEAVER ROAD, SUITE 310",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "96706",
            "telephone_number": "808-295-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE SURGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMAFRANCA",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-295-5636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "HI",
            "license": "MD-14318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.