Active NPI
TLC Surgical Center
- Ambulatory Surgical Clinic/Center
- Beverly Hills, CA
National Provider Identifier
1104469105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- TLC SURGICAL CENTER
- Practice address
- 240 S la Cienega Blvd # 210
Beverly Hills, CA 90211-3324 - Phone
- (310) 882-5454
- Fax
- (310) 882-5454
- NPI assigned
- Oct 22, 2019
- 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
- Dr. Jaime Schwartz, MD
- Title
- Owner
- Phone
- (310) 882-5454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
240 S la Cienega Blvd # 210
Beverly Hills, CA 90211-3324
Mailing address
240 S la Cienega Blvd # 210
Beverly Hills, CA 90211-3324
Phone (310) 882-5454
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2176826 | TLC Surgical Center | Certificate of waiver | Dec 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
240 S La Cienega Blvd
#210
Beverly Hills, CA 90211
Phone (310) 882-5454
Interoperability endpoints
- https://ce27258c-91d5-4b87-bdaf-8c6eb5ed6ba4.gastro.prod.fhir.ema-api.com/fhir/r4/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571702400000",
"number": "1104469105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 S LA CIENEGA BLVD # 210",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902113324",
"telephone_number": "310-882-5454",
"fax_number": "310-882-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 S LA CIENEGA BLVD # 210",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902113324",
"telephone_number": "310-882-5454",
"fax_number": "310-882-5454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TLC SURGICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-22",
"last_updated": "2019-10-22",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "JAIME",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-882-5454",
"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 Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.