Organization Active NPI

Beverly Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1083068423
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A84628 Issued in CA
Legal business name
BEVERLY SURGICAL CENTER
Practice address
450 S Beverly Dr
Beverly Hills, CA 90212-4402
Phone
(310) 550-0288
Fax
(310) 550-1797
NPI assigned
Apr 22, 2016
Last updated
Jul 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Dr. Davis Nguyen, M.D.NPI 1861648214
Title
President
Phone
(310) 550-0288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A84628 CA Primary

Addresses

Primary practice location

450 S Beverly Dr
Beverly Hills, CA 90212-4402

Mailing address

450 S Beverly Dr
Beverly Hills, CA 90212-4402
Phone (310) 550-0288

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1083068423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S BEVERLY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124402",
            "telephone_number": "310-550-0288",
            "fax_number": "310-550-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S BEVERLY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124402",
            "telephone_number": "310-550-0288",
            "fax_number": "310-550-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DAVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-550-0288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A84628",
            "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 Jul 18, 2016; 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.