Organization Active NPI

M/S Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Whittier, CA
National Provider Identifier
1578994265
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
M/S SURGERY CENTER LLC
Practice address
7957 Painter Ave
Suite 104
Whittier, CA 90602-2434
Phone
(310) 638-9391
Fax
(310) 603-8749
NPI assigned
Dec 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Authorized official

Name
Dr. Hanna F Shammas, M.D.NPI 1770698854
Title
Owner
Phone
(310) 638-9391

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

7957 Painter Ave
Suite 104
Whittier, CA 90602-2434

Mailing address

3510 Martin Luther King Jr Blvd
Lynwood, CA 90262-2010
Phone (310) 638-9391

Other names 1

  • M/S SURGERY CENTER LLC WHIT Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140604001502 CA Part B Supplier - Ambulatory Surgical Center 3476642679 Practice locations: Whittier, CA

Ambulatory surgical center certification: CCN 05C0002068

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
M/S SURGERY CENTER, LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Sep 5, 2014
Last certification
Aug 4, 2021
Ownership / control type
Proprietary
Facility address
7957 Painter Avenue, Suite 104
Whittier, CA 90602

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
05D2072170M/S Center LLC7957 Painter Ave Ste 103, Whittier, CA 90602Certificate of waiverJan 26, 2028

National Provider Directory

National Provider Directory

Locations

7957 Painter Ave
Ste 101
Whittier, CA 90602
Phone (213) 728-8009

7957 Painter Ave
#104
Whittier, CA 90602
Phone (310) 608-1742

Practitioners & affiliated clinicians

Practitioners 3

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": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1578994265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 MARTIN LUTHER KING JR BLVD",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622010",
            "telephone_number": "310-638-9391",
            "fax_number": "310-603-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7957 PAINTER AVE",
            "address_2": "SUITE 104",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906022434",
            "telephone_number": "310-638-9391",
            "fax_number": "310-603-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M/S SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "SHAMMAS",
        "authorized_official_first_name": "HANNA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-638-9391",
        "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": [
        {
            "organization_name": "M/S SURGERY CENTER LLC WHIT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.