NPIMap

Organization Active NPI

HB Surgery Center, Inc.

  • Multi-Specialty Clinic/Center
  • Hermosa Beach, CA
National Provider Identifier
1245679737
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
A107345 Issued in CA
Legal business name
HB SURGERY CENTER, INC.
Practice address
1601 Pacific Coast Hwy
Suite 150
Hermosa Beach, CA 90254-3213
Phone
(215) 518-3385
NPI assigned
Jun 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Brendan Bakir, CEO
Title
Owner
Phone
(800) 399-4399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X A107345 CA Primary

Addresses

Primary practice location

1601 Pacific Coast Hwy
Suite 150
Hermosa Beach, CA 90254-3213

Mailing address

1601 Pacific Coast Hwy
Suite 150
Hermosa Beach, CA 90254-3213

Other identifiers 1

IdentifierTypeStateIssuer
W13961OtherCAMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000832 CA Part B Supplier - Clinic/Group Practice 9436062536 Receives reassigned benefits from 31 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orange, CA; Pasadena, CA; Playa Vista, CA; San Gabriel, CA; Santa Monica, CA; Glendale, CA; Sherman Oaks, CA; Thousand Oaks, CA…

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Foothill Anesthesia Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1245679737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 PACIFIC COAST HWY",
            "address_2": "SUITE 150",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 PACIFIC COAST HWY",
            "address_2": "SUITE 150",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543213",
            "telephone_number": "215-518-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HB SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "BAKIR",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-399-4399",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "A107345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "W13961",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.