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

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

Other identifiers 1

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.

• 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0089240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• 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.