NPIMap

Organization Active NPI

MD Surgical Solutions, LLC

  • Ambulatory Surgical Clinic/Center
  • Sherman Oaks, CA
National Provider Identifier
1134327182
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MD SURGICAL SOLUTIONS, LLC
Practice address
15477 Ventura Blvd.
Suite 103
Sherman Oaks, CA 91403
Phone
(818) 906-6900
Fax
(661) 702-1701
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Mirasol Pineda
Title
Billing Manager
Phone
(818) 906-6900

Specialties & licenses 1

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

Addresses

Primary practice location

15477 Ventura Blvd.
Suite 103
Sherman Oaks, CA 91403

Mailing address

28049 Smyth Dr
Valencia, CA 91355-4023
Phone (818) 906-6900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080702000289 CA Part B Supplier - Ambulatory Surgical Center 4789756024 Receives reassigned benefits from 13 practitioners
Practice locations: Sherman Oaks, CA

Hospital certification: CCN 050813

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
MD SURGICAL SOLUTIONS, LLC
Certification status
Terminated Voluntary: merger or closure, May 11, 2023
Provider type (POS)
Hospital – Short-term
Participating since
Jul 14, 2020
Last certification
Jul 14, 2020
Beds
1
Ownership / control type
Private (for profit)
Facility address
15477 Ventura Blvd, Suite 103
Sherman Oaks, CA 91403

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
MD Surgical Solutions LLCCCN 05C0001845
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1073791MD Surgical Solutions LLC15477 Ventura Blvd Ste 103, Sherman Oaks, CA 91403Certificate of waiverSep 16, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1134327182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28049 SMYTH DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554023",
            "telephone_number": "818-906-6900",
            "fax_number": "661-702-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15477 VENTURA BLVD.",
            "address_2": "SUITE 103",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91403",
            "telephone_number": "818-906-6900",
            "fax_number": "661-702-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD SURGICAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "PINEDA",
        "authorized_official_first_name": "MIRASOL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "818-906-6900"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.