Tri-County Surgery Center, Inc.

Primary specialty

Ambulatory Fertility FacilityTaxonomy code 261QA0006X

Legal business name

TRI-COUNTY SURGERY CENTER, INC.

Practice address

10390 Santa Monica Blvd Ste 340
Los Angeles, CA 90025-6915

Phone

(858) 216-5402

Fax

(310) 855-3390

NPI assigned

Nov 27, 2007

Organization subpart

No

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

Authorized official

Name

Julie Gu

Title

Cfo

Phone

(626) 676-5341

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Ellen Havah Goldstein, M.D.

  • Reproductive Endocrinology Physician
  • Los Angeles, CA
  • NPI 1447578604
  NPD
• Sasha Hakman, M.D.

  • Reproductive Endocrinology Physician
  • Los Angeles, CA
  • NPI 1386058055
  NPD (past)

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1194907642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10390 SANTA MONICA BLVD STE 340",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256915",
            "telephone_number": "858-216-5402",
            "fax_number": "310-855-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10390 SANTA MONICA BLVD STE 340",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256915",
            "telephone_number": "858-216-5402",
            "fax_number": "310-855-3390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Rolling Oaks Dr",
            "address_2": "110B",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913611201",
            "country_code": "US",
            "telephone_number": "858-216-5402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRI-COUNTY SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "GU",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "626-676-5341"
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri County Medical Group
• Tri Star Orthopaedics
• Tri Star Orthopaedics
• Tri-City Health Center Inc
• Tri-City Medical Supply Inc
• Tri-Medic Inc
• Tri-State Community Healthcare Center
• Tri-State Community Healthcare Center
• Tri-State Community Healthcare Center
• Tri-State Community Healthcare Center

• All providers in Los Angeles, CA
• Ambulatory Fertility Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.