Organization Active NPI

Specialty Outpatient Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Glendale, CA
National Provider Identifier
1376847020
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SPECIALTY OUTPATIENT SURGERY CENTER
Practice address
200 S Louise St
Glendale, CA 91205-1637
Phone
(818) 844-8700
NPI assigned
Jan 10, 2011
Last updated
Jul 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Dr. Jalil Rashti, M.D.NPI 1942378369
Title
Ceo
Phone
(818) 386-1823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

200 S Louise St
Glendale, CA 91205-1637

Mailing address

200 S Louise St
Glendale, CA 91205-1637
Phone (818) 844-8700

National Provider Directory

National Provider Directory

Locations

200 S Louise St
Glendale, CA 91205
Phone (818) 844-8700

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": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1376847020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S LOUISE ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051637",
            "telephone_number": "818-844-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S LOUISE ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051637",
            "telephone_number": "818-844-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY OUTPATIENT SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "RASHTI",
        "authorized_official_first_name": "JALIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-386-1823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.