Active NPI
Lifovum Fertility Managment, LLC
- Ambulatory Surgical Clinic/Center
- Pasadena, CA
National Provider Identifier
1033394598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 DirectoryNPI 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.