NPIMap

Organization Active NPI

West Coast Surgery Inc

  • Orthopaedic Surgery Physician
  • Palm Desert, CA
National Provider Identifier
1992248918
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G85632 Issued in CA
Legal business name
WEST COAST SURGERY INC
Practice address
36915 Cook Street
Suite 103 B
Palm Desert, CA 92211
Phone
(760) 340-1003
Fax
(760) 340-4844
NPI assigned
Nov 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Authorized official

Name
Sana Mariam Khan, D.ONPI 1205262466
Title
Director
Phone
(760) 641-7217

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
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X G85632 CA Primary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XS0117X

Addresses

Primary practice location

36915 Cook Street
Suite 103 B
Palm Desert, CA 92211

Mailing address

36915 Cook Street
Suite 103 B
Palm Desert, CA 92211
Phone (760) 340-1003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170201002137 CA Part B Supplier - Ambulatory Surgical Center 9931482767 Practice locations: Palm Desert, CA

Hospital certification: CCN 050796

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WEST COAST SURGERY INC
Certification status
Terminated Voluntary: merger or closure, May 11, 2023
Provider type (POS)
Hospital – Short-term
Participating since
Apr 24, 2020
Last certification
Apr 24, 2020
Beds
1
Ownership / control type
Private (for profit)
Facility address
36915 Cook Street, Suite 103B
Palm Desert, CA 92211

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
West Coast Surgery IncCCN 05C0002154
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2137652West Coast Surgery36915 Cook St Ste 103B, Palm Desert, CA 92211Certificate of waiverOct 1, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1992248918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36915 COOK STREET",
            "address_2": "SUITE 103 B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92211",
            "telephone_number": "760-340-1003",
            "fax_number": "760-340-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36915 COOK STREET",
            "address_2": "SUITE 103 B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92211",
            "telephone_number": "760-340-1003",
            "fax_number": "760-340-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SANA",
        "authorized_official_middle_name": "MARIAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "760-641-7217",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G85632",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.