NPIMap

Organization Active NPI

CS Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1518502699
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CS SURGERY CENTER
Practice address
11645 Wilshire Blvd Ste 987
Los Angeles, CA 90025-6814
Phone
(424) 832-3992
Fax
(424) 832-7076
NPI assigned
Nov 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Authorized official

Name
Jody Berman
Title
Owner
Phone
(424) 832-3992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

11645 Wilshire Blvd Ste 987
Los Angeles, CA 90025-6814

Mailing address

11645 Wilshire Blvd Ste 987
Los Angeles, CA 90025-6814
Phone (424) 832-3992

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1518502699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 987",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256814",
            "telephone_number": "424-832-3992",
            "fax_number": "424-832-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 987",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256814",
            "telephone_number": "424-832-3992",
            "fax_number": "424-832-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CS SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-832-3992"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.