Advance Surgeons Medical Group Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ADVANCE SURGEONS MEDICAL GROUP INC

Practice address

120 W Hellman Ave Ste 203
Monterey Park, CA 91754-1209

Phone

(626) 457-6333

Fax

(626) 457-1933

NPI assigned

Aug 8, 2006

Last updated

Jan 15, 2024By 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

Mr. Kenneth T Sim, MD FACCNPI 1831109578

Title

President

Phone

(626) 457-6333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 11

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.

• Norman C. Bautista, M.D.

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1134224066
  Medicare reassignment Care Compare group NPD
• Amy Chonghasawat, MD

  • Surgery Physician
  • Alhambra, CA
  • NPI 1003306739
  Medicare reassignment Care Compare group NPD
• Christopher K Co, DO

  • Surgery Physician
  • Riverside, CA
  • NPI 1558990119
  Medicare reassignment Care Compare group NPD
• Lung-Ching Lee, M.D.

  • Surgery Physician
  • Moreno Valley, CA
  • NPI 1023339371

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Kenneth T Sim, MD

  • Surgery Physician
  • Monterey Park, CA
  • NPI 1831109578
  Medicare reassignment NPD Authorized official
• Young T Tran, MD

  • Surgery Physician
  • Alhambra, CA
  • NPI 1164432803
  Medicare reassignment Care Compare group NPD
• Bob Wu, M.D.

  • Surgery Physician
  • Alhambra, CA
  • NPI 1205030707
  Medicare reassignment Care Compare group NPD
• Christopher E Lai, M.D.

  • Surgery Physician
  • Saint Clair Shores, MI
  • NPI 1972827871

  CA

  Medicare reassignment Care Compare group NPD
• Peng Yu, MD, PHD

  • Surgery Physician
  • Lawton, OK
  • NPI 1124468277

  CA, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Kashif Ahmed Zuberi, MBBCH FACS MRCSI

  • Surgery Physician
  • Bemidji, MN
  • NPI 1508919572

  CA

  Medicare reassignment Care Compare group NPD
• David C P Chen

  • Diagnostic Radiology Physician
  • San Gabriel, CA
  • NPI 1629006895
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1952311680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W HELLMAN AVE STE 203",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541209",
            "telephone_number": "626-457-6333",
            "fax_number": "626-457-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W HELLMAN AVE STE 203",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541209",
            "telephone_number": "626-457-6333",
            "fax_number": "626-457-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE SURGEONS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "SIM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-457-6333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD FACC"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ghassan Abdul-Karim
• Access Ipa
• Alejandra Acevedo
• Acro Consultants
• Adam Sun Nephrology Medical Group Inc
• Mitch Arnold Agorrilla, RN
• Kimberly Aguayo
• Lucille Aguilar
• Ahmc Garfield Medical Center (Garfield Medical Center)
• Ahmc Garfield Medical Center LP (Garfield Medical Center)

• Surgery Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.