Serra Medical Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SERRA MEDICAL AMBULATORY SURGERY CENTER, LLC

Practice address

1120 Newbury Rd
Thousand Oaks, CA 91320-3663

Phone

(805) 367-7522

NPI assigned

Apr 8, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Alexander P Hersel, MD

Title

Owner

Phone

(805) 367-7522

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1922561042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 W HILLCREST DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913202296",
            "telephone_number": "805-367-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 NEWBURY RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913203663",
            "telephone_number": "805-367-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERRA MEDICAL AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "HERSEL",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-367-7522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sima Sekhavat-Tafti, PHYSICIAN ASSISTANT
• Melody Separzadeh, PHARM.D
• Serenity Care Health Group
• Serenity Hospice Inc
• Meri Serobyan
• Serra Surgery Center LLC
• Claudia Serrano
• Elizabeth Serrano
• Brenna Lea Severin, BCBA
• Samantha Severn, AMFT

• Ambulatory Surgical Clinic/Center in Thousand Oaks, CA
• Providers in Thousand Oaks, 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 Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.