Camden Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CAMDEN SURGERY CENTER

Practice address

414 N Camden Dr
8TH Floor
Beverly Hills, CA 90210-4532

Phone

(310) 859-3991

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Churukian, M.D.

Title

Owner

Phone

(310) 859-3991

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 05C0001303

Legal name

CAMDEN SURGERY CENTER OF BEVER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Aug 15, 1994

Last certification

Aug 24, 2017

Ownership / control type

Proprietary

Facility address

414 North Camden Drive, Ste 800
Beverly Hills, CA 90210

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003033341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 N CAMDEN DR",
            "address_2": "8TH FLOOR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104532",
            "telephone_number": "310-859-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N CAMDEN DR",
            "address_2": "8TH FLOOR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104532",
            "telephone_number": "310-859-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHURUKIAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-859-3991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Calvert, M.D.
• Cama Medical, Inc., a Professional Corporation
• Cambridge Physicians Group
• Camden 3D Dental Imaging, Inc
• Camden Pharmacy of Beverly Hills Inc
• Kim Campbell, M.F.T.
• Sheila Marie Campbell, LAC
• David S Campion, MD
• Adriana Patricia Canas
• Cancer Institute of America Medical Corporation

• Ambulatory Surgical Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.