NPIMap

Organization Active NPI

Haas Specialty Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Glendale, CA
National Provider Identifier
1497512883
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
HAAS SPECIALTY SURGERY CENTER
Practice address
1101 E Broadway Ste 100
Glendale, CA 91205-1383
Phone
(818) 500-9286
NPI assigned
Mar 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Dr. Stepan Kasimian, MDNPI 1720003619
Title
Chairman, Governing Body
Phone
(818) 409-8000

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

1101 E Broadway Ste 100
Glendale, CA 91205-1383

Mailing address

1101 E Broadway Ste 100
Glendale, CA 91205-1383

National Provider Directory

National Provider Directory

Locations

1101 E Broadway
Ste 100
Glendale, CA 91205
Phone (818) 500-9286

Practitioners & affiliated clinicians

Practitioners 1

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": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1497512883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E BROADWAY STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E BROADWAY STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051383",
            "telephone_number": "818-500-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAAS SPECIALTY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "KASIMIAN",
        "authorized_official_first_name": "STEPAN",
        "authorized_official_title_or_position": "CHAIRMAN, GOVERNING BODY",
        "authorized_official_telephone_number": "818-409-8000",
        "authorized_official_name_prefix": "Dr.",
        "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 Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.