Organization Active NPI

Roxbury Clinic and Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1003001967
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ROXBURY CLINIC AND SURGERY CENTER INC
Practice address
465 N Roxbury Dr
Suite 1001
Beverly Hills, CA 90210-4206
Phone
(310) 248-6250
Fax
(310) 248-6258
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Authorized official

Name
Mrs. Chona Moore, R.N.
Title
Director of Nursing
Phone
(310) 248-6250

Specialties & licenses 1

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

Addresses

Primary practice location

465 N Roxbury Dr
Suite 1001
Beverly Hills, CA 90210-4206

Mailing address

465 N Roxbury Dr
Suite 1001
Beverly Hills, CA 90210-4206
Phone (310) 248-6250

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
05D1060890Roxbury Clinic and Surgery Center465 N Roxbury Dr Ste 1001, Beverly Hills, CA 90210Certificate of waiverNov 2, 2026

National Provider Directory

National Provider Directory

Locations

465 N Roxbury Dr
Ste 1001
Beverly Hills, CA 90210
Phone (310) 248-6250

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1003001967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 N ROXBURY DR",
            "address_2": "SUITE 1001",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104206",
            "telephone_number": "310-248-6250",
            "fax_number": "310-248-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N ROXBURY DR",
            "address_2": "SUITE 1001",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104206",
            "telephone_number": "310-248-6250",
            "fax_number": "310-248-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXBURY CLINIC AND SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHONA",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "310-248-6250",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.