Organization Active NPI

Cutting Edge Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Torrance, CA
National Provider Identifier
1538569207
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CUTTING EDGE SURGERY CENTER, LLC
Practice address
23456 Hawthorne Blvd
Suite 130
Torrance, CA 90505
Phone
(310) 626-0550
NPI assigned
Aug 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Peter Borden, MDNPI 1972527380
Title
Ceo/Owner
Phone
(310) 375-8700

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

23456 Hawthorne Blvd
Suite 130
Torrance, CA 90505

Mailing address

23456 Hawthorne Blvd
Suite 130
Torrance, CA 90505
Phone (310) 626-0550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151110001361 CA Part B Supplier - Ambulatory Surgical Center 1951611680 Practice locations: Torrance, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Cutting Edge Surgery Center LLCCCN 05C0002116
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
05D2087075Cutting Edge Surgery Center LLC23456 Hawthorne Blvd Ste 110, Torrance, CA 90505Certificate of waiverNov 16, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1538569207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23456 HAWTHORNE BLVD",
            "address_2": "SUITE 130",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-626-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23456 HAWTHORNE BLVD",
            "address_2": "SUITE 130",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-626-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTTING EDGE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "BORDEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "310-375-8700",
        "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 Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.