Long Beach Surgicare LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LONG BEACH SURGICARE LLC

Practice address

4401 Atlantic Ave Ste 101
Long Beach, CA 90807-2260

Phone

(562) 573-4545

Fax

(562) 253-0330

NPI assigned

Mar 19, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Pedram Enayati, M.D.

Title

Medical Director

Phone

(310) 409-3611

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1356101430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 ATLANTIC AVE STE 101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072260",
            "telephone_number": "562-573-4545",
            "fax_number": "562-253-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 ATLANTIC AVE STE 101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072260",
            "telephone_number": "562-573-4545",
            "fax_number": "562-253-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH SURGICARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "ENAYATI",
        "authorized_official_first_name": "PEDRAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-409-3611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Beach Spine & Rehabilitation Chiropractic Health Center
• Long Beach Spring Family Medical GRP
• Long Beach Surgery Center, LP
• Long Beach Surgical Group a Medical Corporation
• Long Beach Surgical Institute
• Long Beach Total Body Therapy Inc
• Long Beach Unified School District
• Long Beach VA
• Long Beach VA Healthcare System
• Long Beach VA Medical Center

• Ambulatory Surgical Clinic/Center in Long Beach, CA
• Providers in Long Beach, 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 Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.