Organization Active NPI

Platinum Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1073044608
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PLATINUM SURGICAL CENTER
Practice address
465 N Roxbury Dr Ste 1017
Beverly Hills, CA 90210-4213
Phone
(310) 993-3800
NPI assigned
Mar 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Daria Andreyeva
Title
Office Manager
Phone
(310) 993-3800

Specialties & licenses 1

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

Addresses

Primary practice location

465 N Roxbury Dr Ste 1017
Beverly Hills, CA 90210-4213

Mailing address

465 N Roxbury Dr Ste 1017
Beverly Hills, CA 90210-4213
Phone (310) 993-3800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1073044608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 N ROXBURY DR STE 1017",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104213",
            "telephone_number": "310-993-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N ROXBURY DR STE 1017",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104213",
            "telephone_number": "310-993-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "ANDREYEVA",
        "authorized_official_first_name": "DARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-993-3800"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.