NPIMap

Organization Active NPI

Cedars Towers Surgical Medical Group

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1881633287
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CEDARS TOWERS SURGICAL MEDICAL GROUP
Practice address
8635 W 3Rd St Ste 350W
Los Angeles, CA 90048-6112
Phone
(310) 595-2700
Fax
(424) 278-1390
NPI assigned
Jun 4, 2006
Last updated
Sep 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Dr. Daniel S Dunkelman, M. D.NPI 1164571055
Title
Medical Director
Phone
(310) 595-2700

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 Physician 208600000X CA Primary

Addresses

Primary practice location

8635 W 3Rd St Ste 350W
Los Angeles, CA 90048-6112

Mailing address

8635 W 3Rd St Ste 350W
Los Angeles, CA 90048-6112
Phone (310) 595-2700

Other identifiers 7

IdentifierTypeStateIssuer
W10168EOtherCAMEDICARE PTAN
W10168AOtherCAMEDICARE PTAN
GR0054580MedicaidCA
W10168FOtherCAMEDICARE PTAN
W10168DOtherCAMEDICARE PTAN
W10168COtherCAMEDICARE PTAN
W10168BOtherCAMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420001841 CA Part B Supplier - Clinic/Group Practice 1759377427 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA; West Hollywood, CA

National Provider Directory

National Provider Directory

Locations

5900 W Olympic Blvd
Los Angeles, CA 90036
Phone (310) 267-2680

8631 W 3rd St
Ste 235E
Los Angeles, CA 90048
Phone (310) 358-9008

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1881633287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 350W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486112",
            "telephone_number": "310-595-2700",
            "fax_number": "424-278-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 350W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486112",
            "telephone_number": "310-595-2700",
            "fax_number": "424-278-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARS TOWERS SURGICAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "DUNKELMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-595-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W10168E",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W10168A",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0054580",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W10168F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W10168D",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W10168C",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W10168B",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.