Advanced Surgical Center of Encino, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ADVANCED SURGICAL CENTER OF ENCINO, LLC

Practice address

5353 Balboa Blvd
Suite 302
Encino, CA 91316-2804

Phone

(818) 946-7800

NPI assigned

Oct 7, 2015

Last updated

Jul 3, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

ADVANCED SURGICAL CENTERS, INCAs reported in NPPES

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

Authorized official

Name

Caroline Nicole Singer, CASC

Title

Chief Executive Officer

Phone

(818) 937-9969

Specialties & licenses 1

Addresses

Other names 1

• ASC of Encino Other name

Locations

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1295106953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N BRAND BLVD STE 900",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 BALBOA BLVD",
            "address_2": "SUITE 302",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162804",
            "telephone_number": "818-946-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL CENTER OF ENCINO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED SURGICAL CENTERS, INC",
        "enumeration_date": "2015-10-07",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "818-937-9969",
        "authorized_official_credential": "CASC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASC of Encino",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Multi-Specialty Clinic/Center in Encino, CA
• Providers in Encino, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.