Organization Active NPI

Beverly Ambulatory Med-Surg Center, PC

  • Ambulatory Surgical Clinic/Center
  • Montebello, CA
National Provider Identifier
1043079809
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BEVERLY AMBULATORY MED-SURG CENTER, PC
Practice address
401 W Beverly Blvd
Montebello, CA 90640-3620
Phone
(888) 225-7982
Fax
(888) 225-7982
NPI assigned
Mar 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Dr. Jamshid James Shariati, MD
Title
President
Phone
(888) 225-7982

Specialties & licenses 1

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

Addresses

Primary practice location

401 W Beverly Blvd
Montebello, CA 90640-3620

Mailing address

1117 W Manchester Blvd Ste B
Inglewood, CA 90301-1588
Phone (310) 403-7899

National Provider Directory

National Provider Directory

Locations

1117 W Manchester Blvd
Ste B
Inglewood, CA 90301
Phone (818) 266-9668

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1043079809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 W MANCHESTER BLVD STE B",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011588",
            "telephone_number": "310-403-7899",
            "fax_number": "888-225-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403620",
            "telephone_number": "888-225-7982",
            "fax_number": "888-225-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY AMBULATORY MED-SURG CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "SHARIATI",
        "authorized_official_first_name": "JAMSHID",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-225-7982",
        "authorized_official_name_prefix": "Dr.",
        "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 Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.