Organization Active NPI

Elite Outpatient Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1316455165
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
6656 Issued in CA
Legal business name
ELITE OUTPATIENT SURGERY CENTER INC
Practice address
50 N la Cienega Blvd Ste 150
Beverly Hills, CA 90211-3143
Phone
(747) 477-1410
Fax
(747) 477-1412
NPI assigned
Jan 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Mohammad R Khosravi, MDNPI 1932285566
Title
Ceo
Phone
(747) 477-1410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 6656 CA Primary

Addresses

Primary practice location

50 N la Cienega Blvd Ste 150
Beverly Hills, CA 90211-3143

Mailing address

50 N la Cienega Blvd Ste 150
Beverly Hills, CA 90211-3143
Phone (747) 477-1410

Other identifiers 1

IdentifierTypeStateIssuer
6656OtherCAAAA OF AMBULATORY SURGERY FACILITIES INC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1316455165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N LA CIENEGA BLVD STE 150",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113143",
            "telephone_number": "747-477-1410",
            "fax_number": "747-477-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N LA CIENEGA BLVD STE 150",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113143",
            "telephone_number": "747-477-1410",
            "fax_number": "747-477-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE OUTPATIENT SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "KHOSRAVI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-477-1410",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "6656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAA OF AMBULATORY SURGERY  FACILITIES INC",
            "identifier": "6656",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.