Concierge Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CONCIERGE SURGERY CENTER

Practice address

23365 Hawthorne Blvd Ste 103
Torrance, CA 90505-3736

Phone

(805) 474-6383

NPI assigned

Jan 18, 2019

Organization subpart

No

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

Authorized official

Name

Luana Farrar

Title

Credentialing

Phone

(949) 337-3267

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 55C0001164

Legal name

CONCIERGE SURGERY CENTER, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Apr 15, 2020

Last certification

Mar 10, 2020

Ownership / control type

Proprietary

Facility address

23365 Hawthorne Blvd Ste 103
Torrance, CA 90505

Locations

Practitioners 1

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

• Shaun Michael Lea, CRNA

  • Certified Registered Nurse Anesthetist
  • Bakersfield, CA
  • NPI 1245570035
  NPD (past)

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1194299586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OAK PARK BLVD STE 202",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201800",
            "telephone_number": "805-474-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23365 HAWTHORNE BLVD STE 103",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053736",
            "telephone_number": "805-474-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "FARRAR",
        "authorized_official_first_name": "LUANA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "949-337-3267"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susana S Concha
• Concierge Health & Wellness Medical
• Concierge Hospice and Palliative Care
• Concierge Pharmacy LLC (Concierge Pharmacy)
• Concierge Sleep Services LLC
• Irma Condong, M.A., CCC-SLP
• Shantrise N. Coney-Gordon
• Conforto Hospice Inc.
• Evelyn Anne Conley, M.D.
• Cassie Conlin

• Ambulatory Surgical Clinic/Center in Torrance, CA
• Providers in Torrance, 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 Aug 9, 2019; 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.