Organization Active NPI

Calabasas ASC

  • Ambulatory Surgical Clinic/Center
  • Calabasas, CA
National Provider Identifier
1063164127
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CALABASAS ASC
Practice address
23621 Park Sorrento Ste 100
Calabasas, CA 91302-1395
Phone
(818) 746-1444
NPI assigned
Jan 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Miss Regan Dinovtiz
Title
Administrator
Phone
(818) 746-1444

Specialties & licenses 1

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

Addresses

Primary practice location

23621 Park Sorrento Ste 100
Calabasas, CA 91302-1395

Mailing address

23621 Park Sorrento Ste 100
Calabasas, CA 91302-1395
Phone (818) 746-1444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1063164127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23621 PARK SORRENTO STE 100",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021395",
            "telephone_number": "818-746-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23621 PARK SORRENTO STE 100",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021395",
            "telephone_number": "818-746-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALABASAS ASC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "DINOVTIZ",
        "authorized_official_first_name": "REGAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-746-1444",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.