Town Center Surgery

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

S051533 Issued in CA

Legal business name

TOWN CENTER SURGERY

Practice address

24510 Town Center Dr
Suite 180
Valencia, CA 91355-1337

Phone

(661) 260-3021

NPI assigned

Sep 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Diana Quezada

Title

O.R Supervisor

Phone

(661) 260-3021

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 05C0001533

Legal name

TOWN CENTER SURGERY, INC DBA MARC LUSSIER, MD

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 9, 2001

Last certification

Apr 18, 2017

Ownership / control type

Proprietary

Facility address

24510 Town Center Drive Suite 180
Valencia, CA 91355

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1114113909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24510 TOWN CENTER DR",
            "address_2": "SUITE 180",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551337",
            "telephone_number": "661-260-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24510 TOWN CENTER DR",
            "address_2": "SUITE 180",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551337",
            "telephone_number": "661-260-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN CENTER SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "QUEZADA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "O.R SUPERVISOR",
        "authorized_official_telephone_number": "661-260-3021",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "S051533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Torres
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• Tran Institute for Plastic Surgery Inc.
• Andrew Anh Tran, D.D.S.
• Evelyn Tran, MD
• Gene L Tran, D.O.

• Ambulatory Surgical Clinic/Center in Valencia, CA
• Providers in Valencia, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.