Ridge Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RIDGE SURGICAL CENTER

Practice address

30300 Agoura Rd
Suite B160
Agoura Hills, CA 91301-5400

Phone

(818) 889-1858

Fax

(818) 889-1758

NPI assigned

Jun 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Andrew Virella, M.D.

Title

Medical Director

Phone

(818) 889-1858

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 05C0002201

Legal name

RIDGE SURGICAL CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Oct 25, 2017

Last certification

Jul 23, 2021

Ownership / control type

Proprietary

Facility address

30300 Agoura R0Ad, Suite 160
Agoura Hills, CA 91301

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Kapil Moza, M.D.

  • Neurological Surgery Physician
  • Thousand Oaks, CA
  • NPI 1841231248
  NPD (past)

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1194175117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30300 AGOURA RD",
            "address_2": "SUITE B160",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015400",
            "telephone_number": "818-889-1858",
            "fax_number": "818-889-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30300 AGOURA RD",
            "address_2": "SUITE B160",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015400",
            "telephone_number": "818-889-1858",
            "fax_number": "818-889-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "VIRELLA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-889-1858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Retina Institute PC
• Miranda Alayne Rich, LMFT
• Christine Natelli Richard, PMHNP-BC
• Lauren Marjorie Richards, MSCOT
• Tana Marie Richter, P.A.-C
• Risa Potters, D.C.
• Rising Health, Inc.
• Risk Management Services Group, Inc.
• Teresa L Rispoli, L.AC.
• Elizabeth Helen Rittersdorf

• Ambulatory Surgical Clinic/Center in Agoura Hills, CA
• Providers in Agoura Hills, 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 21, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.