Socal Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SOCAL SURGERY CENTER LLC

Practice address

4477 W 118TH St Ste 502
Hawthorne, CA 90250-2260

Phone

(213) 465-0994

Fax

(213) 600-1472

NPI assigned

May 3, 2017

Last updated

Mar 5, 2021By 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

Reekesh PatelNPI 1043446982

Title

President

Phone

(909) 965-2953

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Socal Surgery Center LLC Dba Hawthorne Surgery CenterCCN 05C0002248

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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.

• Reekesh R Patel, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hawthorne, CA
  • NPI 1043446982
  NPD (past) Authorized official
• Angie Michelle Cifuentes

  • Electroneurodiagnostic Specialist/Technologist
  • Hawthorne, CA
  • NPI 1780380162
  NPD

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1871029389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 252280",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900258979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 W 118TH ST STE 502",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502260",
            "telephone_number": "213-465-0994",
            "fax_number": "213-600-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "REEKESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-965-2953"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Denise Smith
• Patricia D. Smith, LIC. INSURANCE AGENT
• Louis Smolensky, MD
• Jerimiah Paxton Snyder
• Michael Soares
• Janet Fahem Soliman, M.D.
• Nabil Nazir Soliman, M.D.
• Sonia Medical Center Inc
• Sorour D.M.D, P.C
• Sorour Dental Practice Corp (All Kids Dental)

• Ambulatory Surgical Clinic/Center in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.