Organization Active NPI

Calabasas Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Calabasas, CA
National Provider Identifier
1235803487
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CALABASAS SURGERY CENTER LLC
Practice address
23621 Park Sorrento Ste 100
Calabasas, CA 91302-1395
Phone
(818) 797-8000
NPI assigned
Aug 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Authorized official

Name
Mr. Scott Dinovitz
Title
Chairman Governing Body
Phone
(818) 222-2530

Specialties & licenses 1

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

Addresses

Primary practice location

23621 Park Sorrento Ste 100
Calabasas, CA 91302-1395

Mailing address

23621 Park Sorrento Ste 100
Calabasas, CA 91302-1395
Phone (818) 222-2530

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211006001746 CA Part B Supplier - Ambulatory Surgical Center 7517365570 Practice locations: Calabasas, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Calabasas Surgery Center LLCCCN 55C0001101
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2259476Calabasas Surgery Center23621 Park Sorrento, Suite 100, Calabasas, CA 91302Certificate of waiverMay 4, 2028

National Provider Directory

National Provider Directory

Locations

23621 Park Sorrento
Calabasas, CA 91302

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1235803487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23621 PARK SORRENTO STE 100",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021395",
            "telephone_number": "818-222-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23621 PARK SORRENTO STE 100",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021395",
            "telephone_number": "818-797-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALABASAS SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "DINOVITZ",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CHAIRMAN GOVERNING BODY",
        "authorized_official_telephone_number": "818-222-2530",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.