Organization Active NPI

Westwood Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1033215223
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WESTWOOD SURGERY CENTER
Practice address
10884 Santa Monica Blvd Ste 402
Los Angeles, CA 90025-4646
Phone
(310) 446-4647
Fax
(310) 446-4654
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Elena Jasso
Title
Billing Manager
Phone
(310) 446-4647

Specialties & licenses 1

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

Addresses

Primary practice location

10884 Santa Monica Blvd Ste 402
Los Angeles, CA 90025-4646

Mailing address

10884 Santa Monica Blvd Ste 402
Los Angeles, CA 90025-4646
Phone (310) 446-4647

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050627000532 CA Part B Supplier - Ambulatory Surgical Center 9032154448 Practice locations: Los Angeles, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Westwood Surgery CenterCCN 05C0001714
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
05D2028664Westwood Surgery Center, Inc10884 Santa Monica Blvd Ste 402 1St Floor, Los Angeles, CA 90025Certificate of waiverAug 21, 2027

National Provider Directory

National Provider Directory

Locations

10884 Santa Monica Blvd
#40
Los Angeles, CA 90025
Phone (310) 446-4647

10884 Santa Monica Blvd
Ste 202
Los Angeles, CA 90025
Phone (310) 446-4440

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033215223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10884 SANTA MONICA BLVD STE 402",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254646",
            "telephone_number": "310-446-4647",
            "fax_number": "310-446-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10884 SANTA MONICA BLVD STE 402",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254646",
            "telephone_number": "310-446-4647",
            "fax_number": "310-446-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTWOOD SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JASSO",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "310-446-4647"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • 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.
  • 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.