Organization Active NPI

Center for Specialty Surgery LLC

  • Ambulatory Surgical Clinic/Center
  • Long Beach, CA
National Provider Identifier
1164909578
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CENTER FOR SPECIALTY SURGERY LLC
Practice address
4401 Atlantic Ave Ste 101
Long Beach, CA 90807-2260
Phone
(562) 984-2038
NPI assigned
Jul 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Dr. Artis Woodward, A40488
Title
Owner
Phone
(562) 422-5400

Specialties & licenses 1

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

Addresses

Primary practice location

4401 Atlantic Ave Ste 101
Long Beach, CA 90807-2260

Mailing address

369 S Doheny Dr Ste 155
Beverly Hills, CA 90211-3508
Phone (562) 422-5400

National Provider Directory

National Provider Directory

Locations

4401 Atlantic Ave
Ste 101
Long Beach, CA 90807
Phone (562) 422-5400

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1164909578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 S DOHENY DR STE 155",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113508",
            "telephone_number": "562-422-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 ATLANTIC AVE STE 101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072260",
            "telephone_number": "562-984-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SPECIALTY SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "ARTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-422-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "A40488"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.