Radiance Surgery Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RADIANCE SURGERY CENTER INC

Practice address

5170 Sepulveda Blvd Ste 240
Sherman Oaks, CA 91403-1190

Phone

(818) 995-8702

Fax

(818) 995-8703

NPI assigned

Jun 3, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Aziz H. Berjis, DPM

Title

President

Phone

(818) 995-8702

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1184073884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 SEPULVEDA BLVD STE 240",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031190",
            "telephone_number": "818-995-8702",
            "fax_number": "818-995-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 SEPULVEDA BLVD STE 240",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031190",
            "telephone_number": "818-995-8702",
            "fax_number": "818-995-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "BERJIS",
        "authorized_official_first_name": "AZIZ",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-995-8702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tibor K Racz, DDS
• Rad Optometric Care Inc
• Svetlana Radchenko, ACNP-C
• Abigail Shay Raderman
• Radiance Anesthesia Group Inc.
• Radiance Surgery Center LLC
• Radmanesh Dental Professional Corporation (Harmony Dental Care)
• Lenora Radparvar, PHARMD
• Radwood Rehab Center LLC
• Aliona Radzinsky, B.S., O.D.

• Ambulatory Surgical Clinic/Center in Sherman Oaks, CA
• Providers in Sherman Oaks, 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 Jun 3, 2016; 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.