Montebello Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MONTEBELLO SURGERY CENTER

Practice address

229 E Beverly Blvd
Montebello, CA 90640-3776

Phone

(323) 728-7998

Fax

(323) 728-5041

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Reginald Sampson, M.D.

Title

President

Phone

(323) 728-7998

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Montebello Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Montebello Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Montebello, CA
  • NPI 1265562045
  NPD tax ID

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073665071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 E BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403776",
            "telephone_number": "323-728-7998",
            "fax_number": "323-728-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403776",
            "telephone_number": "323-728-7998",
            "fax_number": "323-728-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEBELLO SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-728-7998",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR0122OF",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Montebello Physical Therapy Center
• Montebello Physicians Quality Care
• Montebello Quality Care Clinic
• Montebello Quality Care Clinic
• Montebello Recovery Center
• Montebello Surgery Center
• Montebello Unified School District
• Montebello Urological Associates, AMC
• Sandra Montes, M.D.
• Sana Moosaji

• Ambulatory Surgical Clinic/Center in Montebello, CA
• Providers in Montebello, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.