Roxbury Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

2029 Issued in CA

Legal business name

ROXBURY SURGERY CENTER LLC

Practice address

450 N Roxbury Dr FL 5
Beverly Hills, CA 90210-4226

Phone

(310) 246-4628

Fax

(310) 859-4886

NPI assigned

Feb 7, 2007

Last updated

Mar 31, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Surrey, M.D.

Title

President

Phone

(310) 246-4628

Specialties & licenses 1

Addresses

Listed as

Roxbury Surgery CenterCCN 05C0001500

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

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1518007608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N ROXBURY DR FL 5",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104226",
            "telephone_number": "310-246-4628",
            "fax_number": "310-859-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N ROXBURY DR FL 5",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104226",
            "telephone_number": "310-246-4628",
            "fax_number": "310-859-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXBURY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "SURREY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-246-4628",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "2029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxbury Pharmacy, Inc. (Encore Pharmacy)
• Roxbury Rehab
• Roxbury Rehab Incorporated
• Roxbury Specialty Group PC
• Roxbury Specialty Surgery Center, LLC
• Roxbury Surgical Associates a Medical Corporation
• Roxbury Surgical Center LLC.
• Roxbury Surgical Group
• Roxbury Surgical Institute
• Roxsan Pharmacy, Inc

• Ambulatory Surgical Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, 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 Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.