Active NPI
Surgeon Services Professional Corporation
- Otolaryngology/Facial Plastic Surgery Physician
- Beverly Hills, CA
National Provider Identifier
1861755654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- A78700
- Legal business name
- SURGEON SERVICES PROFESSIONAL CORPORATION
- Practice address
- 9400 Brighton Way
Penthouse
Beverly Hills, CA 90210-4714 - Phone
- (310) 859-9816
- Fax
- (310) 859-9815
- NPI assigned
- Jun 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Diamond, MD
- Title
- Sole Owner
- Phone
- (310) 859-9816
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A78700 | CA | |
| Orthopaedic Surgery Physician | 207X00000X | A78700 | CA | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | A78700 | CA | Primary |
Addresses
Primary practice location
9400 Brighton Way
Penthouse
Beverly Hills, CA 90210-4714
Mailing address
9400 Brighton Way
Penthouse Suite
Beverly Hills, CA 90210-4714
Phone (310) 859-9816
National Provider Directory
National Provider DirectoryLocations
9400 Brighton Way
Ph
Beverly Hills, CA 90210
Phone (310) 276-2033
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adolescent Medicine (Internal Medicine) Physician
- Beverly Hills, CA
- NPI 1952773244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339977600000",
"number": "1861755654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9400 BRIGHTON WAY",
"address_2": "PENTHOUSE SUITE",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104714",
"telephone_number": "310-859-9816",
"fax_number": "310-859-9815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 BRIGHTON WAY",
"address_2": "PENTHOUSE",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104714",
"telephone_number": "310-859-9816",
"fax_number": "310-859-9815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGEON SERVICES PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-18",
"last_updated": "2012-06-18",
"status": "A",
"authorized_official_last_name": "DIAMOND",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "310-859-9816",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A78700",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A78700",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "CA",
"license": "A78700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.