Prime Surgical Center of Encino, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PRIME SURGICAL CENTER OF ENCINO, LLC

Practice address

5353 Balboa Blvd
Suite 300
Encino, CA 91316-2804

Phone

(818) 937-9969

NPI assigned

Nov 4, 2014

Organization subpart

Yes

Parent organization

PRIME SURGICAL AFFILIATESAs reported in NPPES

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

Authorized official

Name

Caroline Singer

Title

Chief of Operations

Phone

(818) 937-9969

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Ambulatory surgical center certification: CCN 55C0001141

Legal name

Prime Surgical Center of Encino

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Apr 2, 2022

Last certification

Apr 2, 2022

Ownership / control type

Proprietary

Facility address

5353 Balboa Blvd
Encino, CA 91316

Locations

Practitioners 1

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

• James Albert Danielzadeh, M.D.

  • Obstetrics & Gynecology Physician
  • Tarzana, CA
  • NPI 1154425551
  NPD (past)

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1184029027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N BRAND BLVD STE 900",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034721",
            "telephone_number": "818-937-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 BALBOA BLVD",
            "address_2": "SUITE 300",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162804",
            "telephone_number": "818-937-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME SURGICAL CENTER OF ENCINO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIME SURGICAL AFFILIATES",
        "enumeration_date": "2014-11-04",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "CHIEF OF OPERATIONS",
        "authorized_official_telephone_number": "818-937-9969"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Healthcare Services - Encino LLC
• Prime Healthcare Services - Encino LLC
• Prime Healthcare Services - Encino LLC
• Prime Healthcare Services Encino LLC
• Prime Neurology, Inc.
• Prime Ultrasound Services Inc
• Prime Urgent Care Inc
• Primo Medical Supplies
• Primo Medical Supplies Inc
• Priority Hospice Care Services, Inc.

• Ambulatory Surgical Clinic/Center in Encino, CA
• Providers in Encino, 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 Jul 7, 2022; 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.