Organization Active NPI

Lifovum Fertility Managment, LLC

  • Ambulatory Surgical Clinic/Center
  • Pasadena, CA
National Provider Identifier
1033394598
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LIFOVUM FERTILITY MANAGMENT, LLC
Doing business as
Reproductive Surgical Associates
Practice address
333 S Arroyo Pkwy
Pasadena, CA 91105-2515
Phone
(626) 441-9161
Fax
(626) 440-0138
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Authorized official

Name
Somesh Roy
Title
Ceo
Phone
(626) 204-9699

Specialties & licenses 1

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

Addresses

Primary practice location

333 S Arroyo Pkwy
Pasadena, CA 91105-2515

Mailing address

135 S Rosemead Blvd
Pasadena, CA 91107
Phone (626) 204-9699

Other names 1

  • Reproductive Surgical Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 05C0001954

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
REPRODUCTIVE SURGICAL ASSOCIATES
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jan 22, 2011
Last certification
Oct 23, 2018
Ownership / control type
Proprietary
Facility address
333 S Arroyo Parkway, 3Rd Floor
Pasadena, CA 91105

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1033394598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S ROSEMEAD BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91107",
            "telephone_number": "626-204-9699",
            "fax_number": "626-440-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S ARROYO PKWY",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052515",
            "telephone_number": "626-441-9161",
            "fax_number": "626-440-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFOVUM FERTILITY MANAGMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "SOMESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-204-9699"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reproductive Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reproductive Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.