Active NPI
Beverly Ambulatory Med-Surg Center, PC
- Ambulatory Surgical Clinic/Center
- Montebello, CA
National Provider Identifier
1043079809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Ross Albert Berliner, DPM
- Edwin Anthony Bermudez Barron, PHARM.D.
- Janeece A Berry, RNP
- Bertha a Gonzalez DO, Inc
- Delia Betancourt Manale, COTA
- Beverly Care Medical Group, Inc
- Beverly Community Hospital Association
- Beverly Hospital
- Beverly Hospitalist Group Incorporated
- Beverly Internal Medicine Medical Group Inc.
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.