WILSHIRE CENTER FOR AMBULATORY SURGERY, INC. (NPI# 1033309406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033309406 |
| Entity Type | Organization |
| Organization Name | WILSHIRE CENTER FOR AMBULATORY SURGERY, INC. |
| Practice Address |
1127 Wilshire Blvd Suite 1515 Los Angeles CA 90017-3901 |
| Practice Telephone | 2132507243 |
| Practice Fax Number | 2132508272 |
| Mailing Telephone | 2132507243 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2015-01-29 |
| Authorized Official Name | DR. JEFFREY MERRICK SAGE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2132505333 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
20A5971 | CA | Ambulatory Health Care Facilities |
| Street Address |
1127 WILSHIRE BLVD SUITE 1515 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114926730 | Jeffrey Merrick Sage | Ophthalmology | 1127 Wilshire Blvd, Suite 1600, Los Angeles, CA 90017-3901 | 2005-07-15 |
| 1225563281 | Jeffrey M Sage D.o. Inc. | Ophthalmology | 1127 Wilshire Blvd, Suite 1600, Los Angeles, CA 90017-3901 | 2017-04-27 |
| 1467996793 | Select Surgical, LLC | Clinic/Center | 1127 Wilshire Blvd, Suite 1000, Los Angeles, CA 90017-3901 | 2016-12-06 |
| 1427509140 | Soha Dolatabadi Md A Professional Corporation | Internal Medicine | 1127 Wilshire Blvd, Suite 708, Los Angeles, CA 90017-3901 | 2016-10-18 |
| 1558810754 | Elan Allison | Orthotist | 1127 Wilshire Blvd, 310, Los Angeles, CA 90017-3901 | 2016-09-28 |
| 1811355134 | Natasha Pejman-gonzalez | Student in an Organized Health Care Education/Training Program | 1127 Wilshire Blvd, Suite 1504, Los Angeles, CA 90017-3901 | 2016-02-01 |
| 1790158921 | Los Angeles Kidney Center A Professional Corporation | Internal Medicine | 1127 Wilshire Blvd, Suite 510, Los Angeles, CA 90017-3901 | 2015-11-10 |
| 1295110294 | Carlos S Martinez Md Inc | Internal Medicine | 1127 Wilshire Blvd, Ste 1100, Los Angeles, CA 90017-3901 | 2015-07-21 |
| 1114308905 | Connect Hearing, Inc. | Audiologist | 1127 Wilshire Blvd, Ste 1202, Los Angeles, CA 90017-4003 | 2015-06-17 |
| 1699173922 | Jah Hand Surgery | Orthopaedic Surgery | 1127 Wilshire Blvd, Suite 510, Los Angeles, CA 90017-3901 | 2014-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972982114 | Cmmp Clinica De Ojos | Clinic/Center | 2007 Wilshire Blvd, Suite 522, Los Angeles, CA 90057-3506 | 2015-05-20 |
| 1780901520 | Westwood Eye Surgical Institute, Inc. | Clinic/Center | 10884 Santa Monica Blvd, Second Floor, Los Angeles, CA 90025-4646 | 2010-05-03 |
| 1780848473 | Carl J. Gordon, M.d. Inc. | Clinic/Center | 6360 Wilshire Blvd, Suite 409, Los Angeles, CA 90048-5603 | 2008-07-11 |
| 1588737035 | Brentwood Ambulatory Surgical Medical Center | Clinic/Center | 11645 Wilshire Blvd, 905, Los Angeles, CA 90025-1708 | 2006-11-15 |
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| 1194243394 | Jon L Siems Md Inc | Clinic/Center | 31515 Rancho Pueblo Rd Ste 103, Temecula, CA 92592-4837 | 2017-09-07 |
| 1568918449 | The Cataract Vision Institute LLC | Clinic/Center | 3998 Inland Empire Blvd, Ontario, CA 91764-5032 | 2016-08-30 |
| 1417345885 | The Lasik Vision Institute | Clinic/Center | 7088 N Maple Ave, Suite 105, Fresno, CA 93720-0101 | 2015-01-07 |
| 1437565298 | Dr. Barbara S. Yates, Inc. | Clinic/Center | 4804 Laurel Canyon Blvd # 1200, Valley Village, CA 91607-3717 | 2014-07-01 |
| 1770865735 | Vision Institute of Southern California A Professional Medical Corpora | Clinic/Center | 18725 Gale Ave Ste 140, City of Industry, CA 91748-1358 | 2011-09-15 |
| 1548583255 | Gold Coast Vision LLC | Clinic/Center | 461 W 5th St, Oxnard, CA 93030-7049 | 2010-03-09 |
| 1942523139 | Advanced Laser Center | Clinic/Center | 350 S Winchester Blvd, Suite 250, San Jose, CA 95128-2092 | 2010-03-02 |
| 1447485156 | Humboldt Physicians Surgery and Laser Center LLC | Clinic/Center | 3226 Timber Fall Court, Eureka, CA 95503-4888 | 2009-05-26 |
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| City | LOS ANGELES |
| Zip Code | 90017 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.