Kerlan-Jobe Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KERLAN-JOBE SURGERY CENTER LLC

Doing business as

Kerlan-Jobe Surgery Center, LLC

Practice address

6801 Park Ter Ste 300
Los Angeles, CA 90045-9212

Phone

(310) 665-7200

NPI assigned

Apr 21, 2006

Last updated

Nov 9, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ralph Anthony Gambardella, MDNPI 1205803087

Title

Partner

Phone

(310) 792-3914

Specialties & licenses 1

Addresses

Other names 2

• KERLAN-JOBE SURGERY CENTER, LLC Doing business as
• HEALTHSOUTH / KERLAN-JOBE SURGERY CENTER LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Kerlan Jobe Surgery Center LLCCCN 05C0001399

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.

• Ralph Anthony Gambardella, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Los Angeles, CA
  • NPI 1205803087
  Authorized official Same address or phone

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541721600000",
    "number": "1366408270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 PARK TER",
            "address_2": "SUITE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451543",
            "telephone_number": "310-665-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 PARK TER STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900459212",
            "telephone_number": "310-665-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERLAN-JOBE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2018-11-09",
        "status": "A",
        "authorized_official_last_name": "GAMBARDELLA",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "310-792-3914",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KERLAN-JOBE SURGERY CENTER, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEALTHSOUTH / KERLAN-JOBE SURGERY CENTER LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "HEALTHSOUTH / KERLAN-JOBE SURGERY CENTER LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Dolly Kerin Weisserman, MD
• Carlene Kerker
• Susan Kerkoutian, M.D.
• Kerlan Jobe
• Kerlan-Jobe Orthopaedic Clinic
• Anna Kerman-Greenberg
• Cyrus Kermani, M.D.
• Riley David Kermanian
• Sahel Kermanshahi, PHARMD.
• Elizabeth Mary Kermgard, M.D.

• Ambulatory Surgical Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, 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 Nov 9, 2018; 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.