Organization Active NPI

Cardiovascular Surgicenter of Beverly Hills LLC

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1083322689
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CARDIOVASCULAR SURGICENTER OF BEVERLY HILLS LLC
Practice address
8741 Alden Dr Ste C
Los Angeles, CA 90048-3692
Phone
(310) 652-2744
NPI assigned
Nov 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Authorized official

Name
Dr. Mehran Khosrandi, MD
Title
Member, Governing Body
Phone
(310) 652-2744

Specialties & licenses 1

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

Addresses

Primary practice location

8741 Alden Dr Ste C
Los Angeles, CA 90048-3692

Mailing address

8741 Alden Dr Ste C
Los Angeles, CA 90048-3692
Phone (310) 652-2744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230120000241 CA Part B Supplier - Ambulatory Surgical Center 0749651255 Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

8741 Alden Dr
Ste B
Los Angeles, CA 90048
Phone (951) 556-2665

Practitioners & affiliated clinicians

Practitioners 2

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": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1083322689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8741 ALDEN DR STE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483692",
            "telephone_number": "310-652-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8741 ALDEN DR STE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483692",
            "telephone_number": "310-652-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR SURGICENTER OF BEVERLY HILLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "KHOSRANDI",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_title_or_position": "MEMBER, GOVERNING BODY",
        "authorized_official_telephone_number": "310-652-2744",
        "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 Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.