Organization Active NPI

Ops Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Long Beach, CA
National Provider Identifier
1013774264
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
OPS SURGERY CENTER LLC
Practice address
4100 Long Beach Blvd Ste 108
Long Beach, CA 90807-2696
Phone
(310) 448-3459
NPI assigned
Mar 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Daniel Loder, MDNPI 1760472500
Title
Ceo
Phone
(310) 448-3459

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
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

4100 Long Beach Blvd Ste 108
Long Beach, CA 90807-2696

Mailing address

PO Box 3129
Torrance, CA 90510-3129
Phone (310) 792-3914

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240510002294 CA Part B Supplier - Ambulatory Surgical Center 2668813486 Practice locations: Long Beach, CA

Ambulatory surgical center certification: CCN 55C0001215

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
OPS Surgery Center, LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jan 17, 2025
Last certification
Jan 17, 2025
Facility address
4100 Long Beach Blvd
Long Beach, CA 90807

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
05D2303462Ops Surgery Center, LLC4100 Long Beach Blvd Suite 108, Long Beach, CA 90807Certificate of waiverApr 24, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1013774264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3129",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103129",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LONG BEACH BLVD STE 108",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072696",
            "telephone_number": "310-448-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPS SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "LODER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-448-3459",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.