Active NPI
Central Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Glendale, CA
National Provider Identifier
1104440189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- CENTRAL SURGERY CENTER LLC
- Practice address
- 800 S Central Ave Ste 102
Glendale, CA 91204-4370 - Phone
- (818) 388-0877
- NPI assigned
- Jun 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Natalie A Plyamm
- Title
- Administrator
- Phone
- (818) 388-0877
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
800 S Central Ave Ste 102
Glendale, CA 91204-4370
Mailing address
800 S Central Ave Ste 102
Glendale, CA 91204-4370
Phone (818) 388-0877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201005000361 | CA | Part B Supplier - Ambulatory Surgical Center | 6507285962 | Practice locations: Glendale, CA |
National Provider Directory
National Provider DirectoryLocations
800 S Central Ave
Ste 102
Glendale, CA 91204
Phone (818) 388-0877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591228800000",
"number": "1104440189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S CENTRAL AVE STE 102",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912044370",
"telephone_number": "818-388-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S CENTRAL AVE STE 102",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912044370",
"telephone_number": "818-388-0877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-04",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A",
"authorized_official_last_name": "PLYAMM",
"authorized_official_first_name": "NATALIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "818-388-0877"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
- Central Medical Group
- Central Medical Hospice, Inc.
- Central Neuro Diagnostic, Inc
- Central Pharmacy Group Inc
- Central Pharmacy Group Inc
- Central Surgery Center of Glendale
- Central Surgery Center of Glendale
- Central Surgical Center PC a California Professional Medical Co
- Cep America - Neurology PC
- Vahan Cepkinian, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.