Third Street Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

930001001 Issued in CA

Legal business name

THIRD STREET SURGERY CENTER LLC

Practice address

420 E 3Rd St Ste 110
Los Angeles, CA 90013-1645

Phone

(213) 617-9194

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Alex Liu, MD

Title

Vice President/Medical Director

Phone

(213) 617-9194

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Third Street Surgery Center LP Former legal business name

Listed as

Third Street Surgery Center LPCCN 05C0001330

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

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

• Fred Kazuhiro Kurata, MD

  • Specialist
  • Los Angeles, CA
  • NPI 1205906740
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1144370594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST",
            "address_2": "SUITE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131644",
            "telephone_number": "213-617-9194",
            "fax_number": "213-617-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131645",
            "telephone_number": "213-617-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD STREET SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "VICE PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "213-617-9194",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "930001001",
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01330G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Third Street Surgery Center LP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sheila Emily Thiele
• Thien C Nguyen, DDS, a Dental Corporation
• Deonisha Jenay Thigpen, PSYD
• Lisa Thigpen
• Lynay Thigpen
• Third Street Treatment Partners LLC
• Third Street Treatment Partners, LLC
• Yuhonne Thom
• Martin Thomani, LCSW
• Rebecca Lynn Thomann, P.T.

• Ambulatory Surgical Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, 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 Nov 4, 2021; 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.

Verify at the official NPI Registry.