Active NPI
United Surgery Center Long Beach LLC
- Ambulatory Surgical Clinic/Center
- Long Beach, CA
National Provider Identifier
1265257612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- UNITED SURGERY CENTER LONG BEACH LLC
- Practice address
- 3849 Atlantic Avenue
Long Beach, CA 90807 - Phone
- (951) 764-9396
- NPI assigned
- Nov 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ken Jones
- Title
- Director of Business Operations
- Phone
- (951) 764-9396
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
3849 Atlantic Avenue
Long Beach, CA 90807
Mailing address
25150 Hancock Ave Ste 208
Murrieta, CA 92562-5989
Phone (951) 764-9396
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2324033 | United Surgery Center Long Beach LLC | Certificate of waiver | May 15, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732060800000",
"number": "1265257612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25150 HANCOCK AVE STE 208",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925625989",
"telephone_number": "951-764-9396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3849 ATLANTIC AVENUE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90807",
"telephone_number": "951-764-9396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED SURGERY CENTER LONG BEACH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-20",
"last_updated": "2024-11-20",
"certification_date": "2024-11-18",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "KEN",
"authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
"authorized_official_telephone_number": "951-764-9396"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
- United Medical Radiology Network
- United Medical Radiology Network, Inc
- United Medical Radiology Network, Inc.
- United Mobile Rad LLC
- United States Veterans Initiative - Long Beach
- Unity Adult Day Healthcare Inc
- Unity Recuperative Care
- Universal Care
- Universal Care, Inc. Dba Brand New Day
- University of California, Irvine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.