Organization Active NPI

SK Cllinic Surgical Center

  • Ambulatory Surgical Clinic/Center
  • La Jolla, CA
National Provider Identifier
1952560740
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
G029780 Issued in CA
Legal business name
SK CLLINIC SURGICAL CENTER
Practice address
528 Nautilus St
La Jolla, CA 92037-6138
Phone
(858) 454-3161
Fax
(858) 454-0790
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Mrs. Karen F Bremseth
Title
Insurance Biller
Phone
(858) 454-3161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X G029780 CA Primary

Addresses

Primary practice location

528 Nautilus St
La Jolla, CA 92037-6138

Mailing address

528 Nautilus St
La Jolla, CA 92037-6138
Phone (858) 454-3161

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1952560740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 NAUTILUS ST",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920376138",
            "telephone_number": "858-454-3161",
            "fax_number": "858-454-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 NAUTILUS ST",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920376138",
            "telephone_number": "858-454-3161",
            "fax_number": "858-454-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SK CLLINIC SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "BREMSETH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "INSURANCE BILLER",
        "authorized_official_telephone_number": "858-454-3161",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "G029780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.