Organization Active NPI

Brand Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Glendale, CA
National Provider Identifier
1437537107
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BRAND SURGERY CENTER, LLC
Practice address
1146 N Brand Blvd
Glendale, CA 91202-2504
Phone
(818) 426-7077
Fax
(818) 241-0087
NPI assigned
May 13, 2015
Last updated
May 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Dr. Haroutun Harry Hovanesian, M.D.NPI 1154341626
Title
Medical Director/Owner
Phone
(818) 426-7077

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 CA Primary

Addresses

Primary practice location

1146 N Brand Blvd
Glendale, CA 91202-2504

Mailing address

409 N Central Ave
Glendale, CA 91203-2001
Phone (818) 426-7077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180612003371 CA Part B Supplier - Ambulatory Surgical Center 7810205226 Receives reassigned benefits from 6 practitioners
Practice locations: Glendale, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Brand Surgery Center LLCCCN 05C0002176
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2102546Brand Surgery Center, LLC1146 N Brand Blvd, Glendale, CA 91202Certificate of waiverSep 23, 2027

National Provider Directory

National Provider Directory

Locations

409 N Central Ave
Glendale, CA 91203
Phone (818) 265-7755

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1437537107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032001",
            "telephone_number": "818-426-7077",
            "fax_number": "818-241-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 N BRAND BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022504",
            "telephone_number": "818-426-7077",
            "fax_number": "818-241-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAND SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "HOVANESIAN",
        "authorized_official_first_name": "HAROUTUN",
        "authorized_official_middle_name": "HARRY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "818-426-7077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.