Organization Active NPI

Zahra Surgery Center LP

  • Ambulatory Surgical Clinic/Center
  • Temecula, CA
National Provider Identifier
1356685457
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ZAHRA SURGERY CENTER LP
Practice address
28975 Old Town Front St
Suite 100
Temecula, CA 92590-2801
Phone
(951) 719-3111
Fax
(951) 297-2232
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Mrs. Judith Ellis Hopkins, RN
Title
Administrator
Phone
(310) 953-5991

Specialties & licenses 1

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

Addresses

Primary practice location

28975 Old Town Front St
Suite 100
Temecula, CA 92590-2801

Mailing address

28975 Old Town Front St
Suite 100
Temecula, CA 92590-2801
Phone (951) 719-3111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160519001721 CA Part B Supplier - Ambulatory Surgical Center 2961791678 Practice locations: Temecula, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Zahra Surgery CenterlpCCN 05C0002125
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
05D2052163Zahra Surgery Center28975 Old Town Front St., Ste. 100, Temecula, CA 92590Certificate of waiverJan 6, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1356685457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28975 OLD TOWN FRONT ST",
            "address_2": "SUITE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902801",
            "telephone_number": "951-719-3111",
            "fax_number": "951-297-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28975 OLD TOWN FRONT ST",
            "address_2": "SUITE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902801",
            "telephone_number": "951-719-3111",
            "fax_number": "951-297-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAHRA SURGERY CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-953-5991",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.