Organization Active NPI

California Surgical Medical Clinics Inc.

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1982223228
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CALIFORNIA SURGICAL MEDICAL CLINICS INC.
Practice address
1050 E Perrin Ave Ste 103
Fresno, CA 93720-5032
Phone
(550) 475-6675
Fax
(559) 573-8556
NPI assigned
Apr 15, 2020
Last updated
Apr 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Authorized official

Name
Ghassan Simon Bachir, MDNPI 1225081789
Title
President
Phone
(559) 779-8457

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1050 E Perrin Ave Ste 103
Fresno, CA 93720-5032

Mailing address

9526 N Winery Ave
Fresno, CA 93720-4600
Phone (559) 779-8457

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200619001574 CA Part B Supplier - Clinic/Group Practice 1850713827 Receives reassigned benefits from 1 practitioner
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory
Tax ID family
California Surgical Medical Clinics Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1050 E Perrin Ave
Fresno, CA 93720

1050 E Perrin Ave
Ste 103
Fresno, CA 93720
Phone (550) 475-6675

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1982223228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9526 N WINERY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937204600",
            "telephone_number": "559-779-8457",
            "fax_number": "559-322-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E PERRIN AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205032",
            "telephone_number": "550-475-6675",
            "fax_number": "559-573-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA SURGICAL MEDICAL CLINICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "BACHIR",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-779-8457",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.