Organization Active NPI

Intuitive Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Glendale, CA
National Provider Identifier
1215668546
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
INTUITIVE SURGERY CENTER, INC.
Practice address
317 S Brand Blvd Ste 100
Glendale, CA 91204-1701
Phone
(818) 338-6860
NPI assigned
Jun 17, 2022
Last updated
Jul 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Dr. Maxim Moradian, MDNPI 1497924864
Title
Chairman, Governing Body
Phone
(818) 338-6860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

317 S Brand Blvd Ste 100
Glendale, CA 91204-1701

Mailing address

317 S Brand Blvd Ste 101
Glendale, CA 91204-1701
Phone (818) 338-6860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221014001539 CA Part B Supplier - Ambulatory Surgical Center 0143696286 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215668546. Details of each certification follow.

Ambulatory surgical center certification: CCN 55C0001199

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
Intuitive Surgery Center Inc
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
May 23, 2025
Last certification
May 9, 2025
Facility address
317 S Brand Blvd.
Glendale, CA 91204

National Provider Directory

National Provider Directory

Locations

317 S Brand Blvd
Ste 100
Glendale, CA 91204
Phone (818) 338-6860

317 S Brand Blvd
Ste 101
Glendale, CA 91204

317 S Brand Blvd
Ste B101
Glendale, CA 91204
Phone (818) 338-6860

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1215668546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S BRAND BLVD STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041701",
            "telephone_number": "818-338-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S BRAND BLVD STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041701",
            "telephone_number": "818-338-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTUITIVE SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "MORADIAN",
        "authorized_official_first_name": "MAXIM",
        "authorized_official_title_or_position": "CHAIRMAN, GOVERNING BODY",
        "authorized_official_telephone_number": "818-338-6860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.