Kinetix Surgery Center, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KINETIX SURGERY CENTER, INC

Practice address

5651 Sepulveda Blvd
Suite 101
Sherman Oaks, CA 91411-2916

Phone

(818) 788-2400

NPI assigned

Jun 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Edwin Haronian, M.D.NPI 1063480192

Title

Owner/Medical Director

Phone

(818) 205-9388

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospital certification: CCN 050853

Legal name

KINETIX SURGERY CENTER, INC

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Dec 13, 2021

Last certification

Dec 13, 2021

Beds

1

Ownership / control type

Private (for profit)

Facility address

5651 Sepulveda Blvd, Suite 101
Sherman Oaks, CA 91411

Listed as

Kinetix Surgery Center IncCCN 05C0002041

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

Practitioners 1

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

• Edwin Haronian, M.D.

  • Specialist
  • Sherman Oaks, CA
  • NPI 1063480192
  NPD Authorized official

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1548609472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 SEPULVEDA BLVD",
            "address_2": "SUITE 101",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914112916",
            "telephone_number": "818-788-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 SEPULVEDA BLVD",
            "address_2": "SUITE 101",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914112916",
            "telephone_number": "818-788-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIX SURGERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "HARONIAN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-205-9388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyopng T Kim, ACUPUNCTURIST
• Leanna Kim
• Lia Kim
• Yonnie Kwak Kim
• Henry Kimmel, PSY.D.
• King Care Hospice, Inc.
• King Medical Corporation
• Precious King-Cohick
• Heather Lynn King
• Jean Ceba Kirchhevel

• Ambulatory Surgical Clinic/Center in Sherman Oaks, CA
• Providers in Sherman Oaks, 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 Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.