Select Surgical, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SELECT SURGICAL, LLC

Practice address

3617 Avalon Blvd Ste 100
Los Angeles, CA 90011-5601

Phone

(213) 550-1201

Fax

(213) 935-8566

NPI assigned

Dec 6, 2016

Organization subpart

No

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

Authorized official

Name

Jennifer Hertz, MDNPI 1366771818

Title

President

Phone

(323) 445-6249

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Select Surgical LLCCCN 05C0002194

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17323/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Hertz, MD

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
  • NPI 1366771818
  NPD Authorized official
• Ali Hamadani, D.O.

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1720347826
  NPD

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1467996793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 WILSHIRE BLVD",
            "address_2": "SUITE 594",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 AVALON BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900115601",
            "telephone_number": "213-550-1201",
            "fax_number": "213-935-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SURGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "HERTZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-445-6249",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Select Orthopedics
• Select Physical Therapy Holdings Inc
• Select Physical Therapy Holdings Inc
• Select Physical Therapy Holdings, Inc.
• Select Plastic Surgery
• Eliahou Seleh, PHARM.D.
• Lida Seleh
• Naomi Seleh
• Aylin Selek, M.D.
• Erik Selekman

• Ambulatory Surgical Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.