Specialty Surgical Center of Westlake Village, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SPECIALTY SURGICAL CENTER OF WESTLAKE VILLAGE, LLC

Practice address

696 Hampshire Road
Suite 100
Westlake Village, CA 91361-4456

Phone

(805) 413-7920

Fax

(805) 413-7921

NPI assigned

May 31, 2007

Last updated

Sep 3, 2026By 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

Eric Boon

Title

Officer and Authorized Official

Phone

(480) 567-0269

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366643751. Details of each certification follow.

• CCN 050831 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 050831

Legal name

SPECIALTY SURGICAL CENTER OF WESTLAKE VILLAGE

Certification status

Terminated Voluntary: other reason for withdrawal, Mar 1, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Feb 2, 2021

Last certification

Feb 2, 2021

Beds

1

Ownership / control type

Private (for profit)

Facility address

696 Hampshire Road, Suite 100
Westlake Village, CA 91361

Listed as

Specialty Surgical Center of Thousand Oaks LPCCN 05C0001849

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

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

• Walter Alain Thomas M D Inc

  • Orthopaedic Surgery Physician
  • Thousand Oaks, CA
  • NPI 1316001167

  Member Of

  NPD member

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1366643751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 HAMPSHIRE RD STE 100",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614456",
            "telephone_number": "805-413-7920",
            "fax_number": "805-413-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 HAMPSHIRE ROAD",
            "address_2": "SUITE 100",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614456",
            "telephone_number": "805-413-7920",
            "fax_number": "805-413-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY SURGICAL CENTER OF WESTLAKE VILLAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "BOON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-567-0269"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Soothe, Inc. (Soothe)
• Kris Sourbeer, LEP
• Jackson Delord Sousa, LMFT., CSAT-S., CST.
• Southern California Infectious Disease Medical Group
• Barbara Sue Spear, MA MFT
• Jenna Speckman
• Miok Spencer
• Stacey Leigh Spencer, AMFT
• Carla Sperling, PT
• Leslie Mayer Spiegel, MD

• Ambulatory Surgical Clinic/Center in Westlake Village, CA
• Providers in Westlake Village, 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 Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.