Eye Surgery Center of Beverly Hills

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A44942 Issued in CA

Legal business name

EYE SURGERY CENTER OF BEVERLY HILLS

Practice address

240 S la Cienega Blvd Ste 260
Beverly Hills, CA 90211-3324

Phone

(310) 289-6595

Fax

(310) 423-9647

NPI assigned

Feb 8, 2007

Last updated

Dec 3, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yaron S Rabinowitz, MD

Title

President

Phone

(310) 423-9640

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225179898. Details of each certification follow.

• CCN 05C0001802 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 05C0001802

Legal name

EYE SURGERY CENTER OF BEVERLY HILLS

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Aug 22, 2007

Last certification

Dec 20, 2013

Ownership / control type

Government

Facility address

240 South la Cienega Boulevard, Suite 260
Beverly Hills, CA 90211

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1225179898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S LA CIENEGA BLVD STE 260",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113324",
            "telephone_number": "310-289-6595",
            "fax_number": "310-423-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S LA CIENEGA BLVD STE 260",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113324",
            "telephone_number": "310-289-6595",
            "fax_number": "310-423-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY CENTER OF BEVERLY HILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "RABINOWITZ",
        "authorized_official_first_name": "YARON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-423-9640",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A44942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Beverly Hills, CA
• Providers in Beverly 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 Dec 3, 2007; 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.