Organization Active NPI

Century Park Ambulatory Surgical Center, LLC

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1396224143
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CENTURY PARK AMBULATORY SURGICAL CENTER, LLC
Practice address
2080 Century Park E Ste 1111
Los Angeles, CA 90067-2029
Phone
(650) 440-2020
NPI assigned
Aug 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Elena Serda
Title
Director
Phone
(650) 440-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Ambulatory Surgical Clinic/Center 261QA1903X

Addresses

Primary practice location

2080 Century Park E Ste 1111
Los Angeles, CA 90067-2029

Mailing address

PO Box 8636
Calabasas, CA 91372-8636
Phone (650) 440-2020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1396224143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8636",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913728636",
            "telephone_number": "650-440-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 1111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672029",
            "telephone_number": "650-440-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY PARK AMBULATORY SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "SERDA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "650-440-2020"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.