Active NPI
Saxon Surgical Center Inc
- Ambulatory Surgical Clinic/Center
- Thousand Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 050000564
- Legal business name
- SAXON SURGICAL CENTER INC
- Practice address
- 430 East Avenida de Los Arboles
Suite 101
Thousand Oaks, CA 91360 - Phone
- (805) 241-0151
- Fax
- (805) 241-0161
- NPI assigned
- Apr 19, 2006
- 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
- Kamyar Assil
- Title
- President
- Phone
- (805) 241-0151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 050000564 | CA | Primary |
Addresses
Primary practice location
430 East Avenida de Los Arboles
Suite 101
Thousand Oaks, CA 91360
Mailing address
430 East Avenida de Los Arboles
Suite 101
Thousand Oaks, CA 91360
Phone (805) 241-0151
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SUR01544F | Medicaid | CA | |
| 050000564 | Other | CA | DEPT OF HEALTH SERVICES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060822000414 | CA | Part B Supplier - Ambulatory Surgical Center | 0547263055 | Practice locations: Thousand Oaks, CA |
Hospital certification: CCN 050792
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
- SAXON SURGICAL CENTER, INC
- Certification status
- Terminated Voluntary: merger or closure, May 11, 2023
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Apr 15, 2020
- Last certification
- Apr 15, 2020
- Beds
- 1
- Ownership / control type
- Private (for profit)
- Facility address
- 430 E Avenida de Los Arboles, Suite 101
Thousand Oaks, CA 91360
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Saxon Surgical Center
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 05D0996513 | Saxon Surgical Center Inc | Certificate of waiver | Feb 18, 2028 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Thousand Oaks, CA
- NPI 1326500703
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517788800000",
"number": "1447215850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 EAST AVENIDA DE LOS ARBOLES",
"address_2": "SUITE 101",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "91360",
"telephone_number": "805-241-0151",
"fax_number": "805-241-0161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 EAST AVENIDA DE LOS ARBOLES",
"address_2": "SUITE 101",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "91360",
"telephone_number": "805-241-0151",
"fax_number": "805-241-0161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAXON SURGICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-19",
"last_updated": "2018-02-05",
"status": "A",
"authorized_official_last_name": "ASSIL",
"authorized_official_first_name": "KAMYAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-241-0151"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "050000564",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SUR01544F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF HEALTH SERVICES",
"identifier": "050000564",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.