Organization Active NPI

Biohealth Surgical Institute

  • Ambulatory Surgical Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1427692037
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BIOHEALTH SURGICAL INSTITUTE
Practice address
1451 Broadway
Santa Monica, CA 90404-2711
Phone
(310) 246-2358
Fax
(424) 285-8534
NPI assigned
Nov 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Authorized official

Name
Bahman Shamloo, MDNPI 1871760918
Title
Member
Phone
(310) 246-2358

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

1451 Broadway
Santa Monica, CA 90404-2711

Mailing address

1451 Broadway
Santa Monica, CA 90404-2711
Phone (310) 246-2358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210428003214 CA Part B Supplier - Ambulatory Surgical Center 5395154595 Practice locations: Santa Monica, CA

Ambulatory surgical center certification: CCN 55C0001178

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BIOHEALTH SURGICAL INSTITUTE
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jun 1, 2024
Last certification
May 31, 2024
Facility address
1451 Broadway
Santa Monica, CA 90404

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
05D2202122Biohealth Surgical Institute1451 Broadway, Santa Monica, CA 90404Certificate of waiverNov 23, 2026

National Provider Directory

National Provider Directory

Locations

1451 Broadway
Santa Monica, CA 90404
Phone (310) 260-2827

Practitioners & affiliated clinicians

Practitioners 2

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": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1427692037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 BROADWAY",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042711",
            "telephone_number": "310-246-2358",
            "fax_number": "424-285-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 BROADWAY",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042711",
            "telephone_number": "310-246-2358",
            "fax_number": "424-285-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOHEALTH SURGICAL INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "SHAMLOO",
        "authorized_official_first_name": "BAHMAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "310-246-2358",
        "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 Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.