Cerritos Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CERRITOS SURGERY CENTER, LLC

Practice address

16543 Carmenita Avenue
Cerritos, CA 90703-2218

Phone

(562) 219-7251

Fax

(562) 219-7252

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Jaqui V Jaime

Title

Admin

Phone

(562) 219-7251

Specialties & licenses 1

Addresses

Other names 1

• Cerritos Surgery Center, LLC Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Cerritos Surgery CenterCCN 05C0001909

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 2

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

• Ramy Elias, M.D.

  • Orthopaedic Surgery Physician
  • Fountain Valley, CA
  • NPI 1437165362
  NPD
• Afshin Allen Mashoof, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Huntington Beach, CA
  • NPI 1588692131
  NPD

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1316190077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16543 CARMENITA AVENUE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032218",
            "telephone_number": "562-219-7251",
            "fax_number": "562-219-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16543 CARMENITA AVENUE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032218",
            "telephone_number": "562-219-7251",
            "fax_number": "562-219-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERRITOS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "JAIME",
        "authorized_official_first_name": "JAQUI",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "562-219-7251"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cerritos Surgery Center, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cerritos Home Care Inc
• Cerritos Medical Center, Inc
• Cerritos Physical Therapy & Rehabilitation, Inc.
• Cerritos Residence Care Inc.
• Cerritos Residence Care Inc.
• Cerritos Surgery Center, LLC
• Cerritos Vision Optometry, Inc.
• Cerritos Wellness Care
• Froilan Cervania
• Ana Cecilia Cervantes

• Ambulatory Surgical Clinic/Center in Cerritos, CA
• Providers in Cerritos, 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 30, 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.