Organization Active NPI

Optima Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Glendale, CA
National Provider Identifier
1265896559
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
OPTIMA SURGERY CENTER, LLC
Practice address
1500 S Central Ave Ste 126
Glendale, CA 91204-2571
Phone
(818) 409-0060
Fax
(818) 409-0066
NPI assigned
Apr 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Authorized official

Name
Dr. Christopher K Kaypekian, M.D.
Title
Ceo
Phone
(818) 409-0060

Specialties & licenses 1

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

Addresses

Primary practice location

1500 S Central Ave Ste 126
Glendale, CA 91204-2571

Mailing address

1500 S Central Ave Ste 126
Glendale, CA 91204-2571
Phone (818) 409-0060

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
05D2113458Optima Surgery Center LLC1500 S Central Ave Ste 126, Glendale, CA 91204Certificate of waiverMay 22, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1265896559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S CENTRAL AVE STE 126",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042571",
            "telephone_number": "818-409-0060",
            "fax_number": "818-409-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S CENTRAL AVE STE 126",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042571",
            "telephone_number": "818-409-0060",
            "fax_number": "818-409-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "KAYPEKIAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-409-0060",
        "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 Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.

Verify at the official NPI Registry.