Organization Active NPI

Star Ambulatory Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1407357601
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
STAR AMBULATORY SURGERY CENTER, INC.
Practice address
903 Crenshaw Blvd Ste 200
Los Angeles, CA 90019-1966
Phone
(323) 937-3333
Fax
(323) 937-4933
NPI assigned
Feb 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Authorized official

Name
Yong Tai Lee, MDNPI 1972607364
Title
Ceo
Phone
(323) 731-0681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

903 Crenshaw Blvd Ste 200
Los Angeles, CA 90019-1966

Mailing address

903 Crenshaw Blvd Ste 200
Los Angeles, CA 90019-1966
Phone (323) 937-3333

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2167317Star Ambulatory Surgery Center, Inc903 Crenshaw Blvd, Suite #200, Los Angeles, CA 90019Certificate of waiverJun 4, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1407357601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 CRENSHAW BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191966",
            "telephone_number": "323-937-3333",
            "fax_number": "323-937-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 CRENSHAW BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191966",
            "telephone_number": "323-937-3333",
            "fax_number": "323-937-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR AMBULATORY SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "TAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-731-0681",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.