NPIMap

Organization Active NPI

Westside Multispecialty Surgery Center, LP

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1083776108
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WESTSIDE MULTISPECIALTY SURGERY CENTER, LP
Practice address
10921 Wilshire Blvd
#1104
Los Angeles, CA 90024-3906
Phone
(310) 208-7744
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Authorized official

Name
Dr. Isaac Verbukh, M.D.
Title
Owner
Phone
(310) 301-8329

Specialties & licenses 1

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

Addresses

Primary practice location

10921 Wilshire Blvd
#1104
Los Angeles, CA 90024-3906

Mailing address

10921 Wilshire Blvd
Suite 1104
Los Angeles, CA 90024-3906
Phone (310) 301-8329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 05C0001853

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WESTSIDE MULTISPECIALTY SURGERY CENTER, LP
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Feb 26, 2008
Last certification
Sep 19, 2017
Ownership / control type
Proprietary
Facility address
10921 Wilshire Blvd, #1104
Los Angeles, CA 90024

National Provider Directory

National Provider Directory

Locations

Los Angeles, CA 90084

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1083776108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD",
            "address_2": "SUITE 1104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243906",
            "telephone_number": "310-301-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD",
            "address_2": "#1104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243906",
            "telephone_number": "310-208-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE MULTISPECIALTY SURGERY CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "VERBUKH",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-301-8329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.