Starpoint Surgery Center - Studio City LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

930000905 Issued in CA

Legal business name

STARPOINT SURGERY CENTER - STUDIO CITY LP

Practice address

12660 Riverside Dr
Studio City, CA 91607-3429

Phone

(818) 623-5310

NPI assigned

Nov 9, 2006

Last updated

Oct 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Eric D. Friedlander

Title

Manager/Authorized Official

Phone

(949) 705-5105

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144390725. Details of each certification follow.

• CCN 05C0001395 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 05C0001395

Legal name

STARPOINT SURGERY CENTER, STUDIO CITY

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 18, 1997

Last certification

Feb 25, 2019

Ownership / control type

Proprietary

Facility address

12660 Riverside Drive, Suite 300
Studio City, CA 91607

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1144390725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19000 MACARTHUR BLVD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121438",
            "telephone_number": "949-705-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12660 RIVERSIDE DR",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916073429",
            "telephone_number": "818-623-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARPOINT SURGERY CENTER - STUDIO CITY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "FRIEDLANDER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "949-705-5105",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "930000905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Studio City, CA
• Providers in Studio City, 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 Oct 13, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.