Active NPI
Lifovum Fertility Managment, LLC
- Ambulatory Surgical Clinic/Center
- Encino, CA
National Provider Identifier
1194056655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- LIFOVUM FERTILITY MANAGMENT, LLC
- Practice address
- 15503 Ventura Blvd Ste 100
Encino, CA 91436-3114 - Phone
- (818) 788-7288
- NPI assigned
- Jan 22, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Somesh Roy
- Title
- Ceo
- Phone
- (626) 204-9699
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
15503 Ventura Blvd Ste 100
Encino, CA 91436-3114
Mailing address
135 S Roasemead Blvd
Pasadena, CA 91107
Phone (626) 204-9699
Other names 1
- Reproductive Surgical Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Ambulatory surgical center certification: CCN 05C0001951
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- REPRODUCTIVE SURGICAL ASSOCIATES
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Mar 22, 2010
- Last certification
- Jan 15, 2016
- Ownership / control type
- Proprietary
- Facility address
- 15503 Ventura Blvd, Suite 100
Encino, CA 91436
National Provider Directory
National Provider DirectoryLocations
15503 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 788-7288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1509062400000",
"number": "1194056655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 S ROASEMEAD BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "91107",
"telephone_number": "626-204-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15503 VENTURA BLVD STE 100",
"city": "ENCINO",
"state": "CA",
"postal_code": "914363114",
"telephone_number": "818-788-7288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFOVUM FERTILITY MANAGMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-22",
"last_updated": "2017-10-27",
"status": "A",
"authorized_official_last_name": "ROY",
"authorized_official_first_name": "SOMESH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-204-9699"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Reproductive Surgical Associates",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Reproductive Surgical Associates",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; 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.