Huntington Outpatient Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HUNTINGTON OUTPATIENT SURGERY CENTER

Practice address

797 S Fair Oaks Ave
Pasadena, CA 91105-2617

Phone

(626) 535-2434

Fax

(626) 535-2430

NPI assigned

Dec 15, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robin K Waldvogel, MD

Title

Pres,Board of Managers,Med Director

Phone

(626) 535-2434

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316922040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052617",
            "telephone_number": "626-535-2434",
            "fax_number": "626-535-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052617",
            "telephone_number": "626-535-2434",
            "fax_number": "626-535-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON OUTPATIENT SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALDVOGEL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRES,BOARD OF MANAGERS,MED DIRECTOR",
        "authorized_official_telephone_number": "626-535-2434",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUE51029G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Huntington Memorial Hospital (Huntington Memorial Hospital Pharmacy)
• Huntington Memorial Hospital
• Huntington Mr Center a Limited Partnership
• Huntington Orthopedic Surgical Group
• Huntington Orthopedics Surgical Medical Group
• Huntington Pain and Wellness Center, Inc
• Huntington Palliative Medicine Inc
• Huntington Pathology Medical Group Inc
• Huntington Perinatal Group Inc
• Huntington Psychological Services Inc

• 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 Aug 22, 2020; 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.