Organization Active NPI

Beverly Hills Lasky Surgicenter

Doing business as Beverly Hills Lasky Clinic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1427482173
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BEVERLY HILLS LASKY SURGICENTER
Doing business as
Beverly Hills Lasky Clinic Surgery Center
Practice address
160 S Lasky Dr
Beverly Hills, CA 90212-1704
Phone
(310) 566-5663
NPI assigned
Aug 29, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
BEVERLY HILLS LASKY SURGICENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Thomas C Cloud III, MPH
Title
Chairman Credentialing Committe
Phone
(323) 301-2178

Specialties & licenses 1

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

Addresses

Primary practice location

160 S Lasky Dr
Beverly Hills, CA 90212-1704

Mailing address

160 S Lasky Dr
Beverly Hills, CA 90212-1704
Phone (310) 566-5663

Other identifiers 1

IdentifierTypeStateIssuer
1371OtherCAAAAASF

Other names 1

  • Beverly Hills Lasky Clinic Surgery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beverly Hills Lasky Surgicenter2 organizations share this tax ID, including this one
Part of
Beverly Hills Lasky Surgicenter

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

160 S Lasky Dr
Beverly Hills, CA 90212
Phone (310) 247-0003

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1427482173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S LASKY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121704",
            "telephone_number": "310-566-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S LASKY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121704",
            "telephone_number": "310-566-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS LASKY SURGICENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEVERLY HILLS LASKY SURGICENTER",
        "enumeration_date": "2013-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CLOUD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHAIRMAN CREDENTIALING COMMITTE",
        "authorized_official_telephone_number": "323-301-2178",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAASF",
            "identifier": "1371",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Hills Lasky Clinic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.