Advanced Surgical Center of Beverly Hills LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Beverly Hills, CA
NPI 1407327356 · NPPES record last updated Oct 15, 2021
Key facts
- NPI
- 1407327356
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- ADVANCED SURGICAL CENTER OF BEVERLY HILLS LLC
- Practice address
- 8750 Wilshire Blvd Ste 150
Beverly Hills, CA 90211-2725 - Phone
- (408) 761-5847
- NPI assigned
- Dec 17, 2018
- Organization subpart
- No
Authorized official
- Name
- Barbara Lee Roth, REGISTERED NURSE
- Title
- VP of Clinical Operations
- Phone
- (408) 761-5847
Member of 1
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Surgery Center of Beverly Hills LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2161926 | Surgery Center of Beverly Hills LLC | Certificate of waiver | Feb 12, 2027 |
| 05D2308668 | Advanced Surgical Center of Beverly Hills | Certificate of waiver | Jul 30, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190121001219 | CA | Part B Supplier - Ambulatory Surgical Center | 4486991023 | Practice locations: Beverly Hills, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Family Planning Facility | 261QA0005X | |||
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
8750 Wilshire Blvd Ste 150
Beverly Hills, CA 90211-2725
Mailing address
1871 Martin Ave
Santa Clara, CA 95050-2501
Phone (408) 761-5847
Other names
- Surgery Center of Beverly Hills LLC
Other providers in Beverly Hills, CA
- Advanced Lipedema Treatment
- Advanced Medical Corporation
- Advanced Medical Diagnostics
- Advanced Pain Treatment and Diagnostics Medical Group Inc
- Advanced Surgery Center, Inc
- Advanced Surgical Institute
- Advanced Urgent Care of Beverly Hills
- Advanced Weight Loss Surgical Associates Inc
- Aero Mobility, Inc.
- Aero Mobility, Inc.
All providers in Beverly Hills, CA · Ambulatory Surgical Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.