Organization Active NPI

Association of South Bay Surgeons

  • Surgery Physician
  • Torrance, CA
National Provider Identifier
1952492860
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ASSOCIATION OF SOUTH BAY SURGEONS
Practice address
23451 Madison St
Suite 340
Torrance, CA 90505-4763
Phone
(310) 373-6864
Fax
(310) 373-6065
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
Steven D Fisher, M.D.NPI 1942241476
Title
President
Phone
(310) 373-6864

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

23451 Madison St
Suite 340
Torrance, CA 90505-4763

Mailing address

23451 Madison St
Suite 340
Torrance, CA 90505-4763
Phone (310) 373-6864

Other names 1

  • South Coast Surgical Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041112001221 CA Part B Supplier - Clinic/Group Practice 8224092994 Receives reassigned benefits from 23 practitioners
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Locations

23451 Madison St
Ste 340
Torrance, CA 90505
Phone (310) 373-6864

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1952492860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST",
            "address_2": "SUITE 340",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054763",
            "telephone_number": "310-373-6864",
            "fax_number": "310-373-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST",
            "address_2": "SUITE 340",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054763",
            "telephone_number": "310-373-6864",
            "fax_number": "310-373-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATION OF SOUTH BAY SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-373-6864",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Coast Surgical",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.