Huntington Specialty Surgery LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HUNTINGTON SPECIALTY SURGERY LLC

Practice address

39 Congress St Ste 310
Pasadena, CA 91105-3024

Phone

(626) 795-0282

NPI assigned

Nov 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Vahe PanossianNPI 1255359964

Title

Director

Phone

(626) 795-0282

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Huntington Specialty Surgery LLCCCN 05C0002241

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vahe Panossian

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Pasadena, CA
  • NPI 1255359964
  NPD Authorized official
• George Tang, M.D.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Pasadena, CA
  • NPI 1366544629
  NPD
• Murtaza Rizvi, MD

  • Plastic Surgery Physician
  • Los Angeles, CA
  • NPI 1205071073
  NPD (past)

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1295204113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CONGRESS ST STE 310",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CONGRESS ST STE 310",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053024",
            "telephone_number": "626-795-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON SPECIALTY SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "PANOSSIAN",
        "authorized_official_first_name": "VAHE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-795-0282",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huntington Radiation Oncology Medical Group
• Huntington Rehabilitation Medicine Associates
• Huntington Rehabilitation Medicine Associates
• Huntington Reproductive Center Medical Group
• Huntington Reproductive Center Medical Group, a Medical Corporation (hrc fertility)
• Huntington Surgical Excellence
• Huntington Trauma Surgery Med Group, Inc
• Huntington Urology Specialists, Inc.
• Cassandra Hurlbut
• Kenneth Euguene Hurley

• Ambulatory Surgical Clinic/Center in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.