Organization Active NPI

Elite Surgery Center of Beverly Hills

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1255752747
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ELITE SURGERY CENTER OF BEVERLY HILLS
Practice address
6310 San Vicente Blvd Ste 101B
Los Angeles, CA 90048-5498
Phone
(310) 589-4001
NPI assigned
Dec 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Dr. Ronald Grusd, M.D.
Title
President
Phone
(310) 589-4001

Specialties & licenses 1

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

Addresses

Primary practice location

6310 San Vicente Blvd Ste 101B
Los Angeles, CA 90048-5498

Mailing address

6310 San Vicente Blvd Ste 101B
Los Angeles, CA 90048-5498
Phone (310) 589-4001

National Provider Directory

National Provider Directory

Locations

6310 San Vicente Blvd
Ste 101B
Los Angeles, CA 90048
Phone (310) 589-4001

NPI Registry JSON

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1255752747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 SAN VICENTE BLVD STE 101B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485498",
            "telephone_number": "310-589-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 SAN VICENTE BLVD STE 101B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485498",
            "telephone_number": "310-589-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SURGERY CENTER OF BEVERLY HILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "GRUSD",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-589-4001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.