Mount Sinai Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MOUNT SINAI SURGERY CENTER LLC

Practice address

18425 Burbank Blvd
Suite 105
Tarzana, CA 91356-2806

Phone

(310) 470-8446

Fax

(310) 470-4250

NPI assigned

Jun 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Hooman Shabatian, M.D.NPI 1720201379

Title

President

Phone

(310) 470-8446

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Ambulatory surgical center certification: CCN 05C0001472

Legal name

MOUNT SINAI SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jul 27, 2000

Last certification

Jan 22, 2019

Ownership / control type

Proprietary

Facility address

18425 Burbank Blvd Suite 105
Tarzana, CA 91356

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

CLIA laboratory certificates

Practitioners 3

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

• Hooman Shabatian, M.D.

  • Surgery Physician
  • Encino, CA
  • NPI 1720201379
  NPD (past) Authorized official
• Maged S. Mikhail, M.D.

  • Vascular Surgery Physician
  • Tarzana, CA
  • NPI 1316978299
  NPD (past)
• Shahram Salimitari, M.D.

  • Surgery Physician
  • Encino, CA
  • NPI 1043419484
  NPD (past)

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1427369503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD",
            "address_2": "SUITE 105",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562806",
            "telephone_number": "310-470-8446",
            "fax_number": "310-470-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD",
            "address_2": "SUITE 105",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562806",
            "telephone_number": "310-470-8446",
            "fax_number": "310-470-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SINAI SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "SHABATIAN",
        "authorized_official_first_name": "HOOMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-470-8446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdolrazzagh Morvarid, DDS
• Babak Morvarid, M.D.
• Kateryna Moskalenko, FNP
• Amy McCall Moss
• Philip Michael Mottola, DDS
• Mount Sinai Surgery Group, Inc (Mount Sinai Medical Group)
• Mountain View Treatment Center LLC
• Karine Ekmekji Mouradian, MD
• Monica Moussanejad, DDS
• Mina Moussavian-Assadi, M.D.

• Ambulatory Surgical Clinic/Center in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.