NPIMap

Organization Active NPI

Grossman Surgi Center Inc.

  • Specialist
  • West Hills, CA
National Provider Identifier
1336466036
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G66484 Issued in CA
Legal business name
GROSSMAN SURGI CENTER INC.
Practice address
7325 Medical Center Dr
Suite 204
West Hills, CA 91307-1925
Phone
(818) 981-2050
NPI assigned
Apr 21, 2010
Organization subpart
Yes
Parent organization
GROSSMAN MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Dr. Peter H. Grossman, M.D., FACSNPI 1255336756
Title
President
Phone
(818) 981-2050

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G66484 CA Primary

Addresses

Primary practice location

7325 Medical Center Dr
Suite 204
West Hills, CA 91307-1925

Mailing address

7325 Medical Center Dr
Suite 204
West Hills, CA 91307-1925
Phone (818) 981-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336466036. Details of each certification follow.

Ambulatory surgical center certification: CCN 05C0001970

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
GROSSMAN SURGI CENTER INC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Aug 2, 2011
Last certification
Aug 2, 2011
Ownership / control type
Proprietary
Facility address
7325 Medical Center Drive, Suite 200
West Hills, CA 91307

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2021260Grossman Surgi-Center, Inc7325 Medical Center Dr Ste 204, West Hills, CA 91307Certificate of waiverMar 8, 2027

National Provider Directory

National Provider Directory
Part of
Grossman Medical Group Inc

Locations

7325 Medical Center Dr
Ste 204
West Hills, CA 91307
Phone (818) 981-2050

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1336466036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 MEDICAL CENTER DR",
            "address_2": "SUITE 204",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071925",
            "telephone_number": "818-981-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 MEDICAL CENTER DR",
            "address_2": "SUITE 204",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071925",
            "telephone_number": "818-981-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSMAN SURGI CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GROSSMAN MEDICAL GROUP",
        "enumeration_date": "2010-04-21",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-981-2050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., FACS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G66484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.