Organization Active NPI

Saxon Surgical Center Inc

  • Ambulatory Surgical Clinic/Center
  • Thousand Oaks, CA
National Provider Identifier
1447215850
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
050000564 Issued in CA
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

Updated by the provider on Feb 5, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SUR01544FMedicaidCA
050000564OtherCADEPT OF HEALTH SERVICES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 CenterCCN 05C0001544
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
05D0996513Saxon Surgical Center Inc430 E Avenida de Arboles, Ste 101, Thousand Oaks, CA 91360Certificate of waiverFeb 18, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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

Verify at the official NPI Registry.