Empire Surgical Institute LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EMPIRE SURGICAL INSTITUTE LLC

Practice address

4480 Ontario Mills Pkwy
Ontario, CA 91764-5107

Phone

(818) 919-0514

NPI assigned

Feb 25, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Karen Shai

Title

Managing Member

Phone

(818) 919-0514

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Troy Lee Lair

  • Case Management Agency
  • Los Angeles, CA
  • NPI 1689499832
  NPD

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1356975700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 ONTARIO MILLS PKWY",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 ONTARIO MILLS PKWY",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645107",
            "telephone_number": "818-919-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE SURGICAL INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "SHAI",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "818-919-0514",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Layla Eltejaye
• Nicholas Wesley Ely, MD
• Emeel Ghobrial Dental Corp.
• Empire Health System LLC
• Empire Surgical Center
• Elva Enciso
• Salvador Andrez Enciso
• Alexandra Engen
• Enmed, LLC (Quality Home Health Agency)
• Kristina Marie Enright

• Ambulatory Surgical Clinic/Center in Ontario, CA
• Providers in Ontario, 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 Feb 25, 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.