Active NPI
Star Ambulatory Surgery Center, Inc.
- Ambulatory Surgical Clinic/Center
- Los Angeles, CA
National Provider Identifier
1407357601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yong Tai Lee, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2167317 | Star Ambulatory Surgery Center, Inc | Certificate of waiver | Jun 4, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Los Angeles, CA
- NPI 1972607364
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.