Organization Active NPI

Alameda Surgery Center LLC

  • Clinic/Center
  • Burbank, CA
National Provider Identifier
1356407332
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
930000952 Issued in CA
Legal business name
ALAMEDA SURGERY CENTER LLC
Practice address
2601 W Alameda Ave
Suite #312
Burbank, CA 91505-4812
Phone
(818) 842-9728
Fax
(818) 842-4533
NPI assigned
Dec 28, 2006
Last updated
Nov 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Mr. Eric Boon
Title
Manager
Phone
(818) 842-9728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 930000952 CA Primary

Addresses

Primary practice location

2601 W Alameda Ave
Suite #312
Burbank, CA 91505-4812

Mailing address

2601 W Alameda Ave Ste 312
Burbank, CA 91505-4812
Phone (818) 842-9728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120220001124 CA Part B Supplier - Ambulatory Surgical Center 6305004565 Practice locations: Burbank, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Alameda Surgery Center LPCCN 05C0001501
Medicare certification status
ActiveFrom the Provider of Services file

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
05D0999693Alameda Surgery Center2601 W Alameda Ave, Ste 312, Burbank, CA 91505Certificate of waiverMay 19, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2601 W Alameda Ave
Burbank, CA 91505
Phone (818) 841-0112

2601 W Alameda Ave
Ste 312
Burbank, CA 91505
Phone (818) 247-0523

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": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1356407332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W ALAMEDA AVE STE 312",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054812",
            "telephone_number": "818-842-9728",
            "fax_number": "818-842-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W ALAMEDA AVE",
            "address_2": "SUITE #312",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054812",
            "telephone_number": "818-842-9728",
            "fax_number": "818-842-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMEDA SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "BOON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-842-9728",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "930000952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.