Monterey Park Outpatient Surgery Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

930000988 Issued in CA

Legal business name

MONTEREY PARK OUTPATIENT SURGERY CENTER INC

Doing business as

Monterey Park Outpatient Surgery Center Inc

Practice address

201 W Garvey Ave
Ste. 201
Monterey Park, CA 91754-7418

Phone

(626) 280-3393

Fax

(626) 280-2931

NPI assigned

Feb 14, 2007

Last updated

Nov 13, 2014By 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

Dr. David K QuonNPI 1134216559

Title

Medical Director

Phone

(626) 280-3393

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MONTEREY PARK OUTPATIENT SURGERY CENTER INC Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629111430. Details of each certification follow.

• CCN 05C0001611 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 05C0001611

Legal name

MONTEREY PARK OUTPATIENT SURGE

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Aug 6, 2003

Last certification

Sep 11, 2013

Ownership / control type

Proprietary

Facility address

201 West Garvey Avenue, Suite 201
Monterey Park, CA 91754

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David K. Quon, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1134216559
  NPD (past) Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1629111430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W GARVEY AVE",
            "address_2": "STE. 201",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547418",
            "telephone_number": "626-280-3393",
            "fax_number": "626-280-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W GARVEY AVE",
            "address_2": "STE. 201",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547418",
            "telephone_number": "626-280-3393",
            "fax_number": "626-280-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEREY PARK OUTPATIENT SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "QUON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-280-3393",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "930000988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01611F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONTEREY PARK OUTPATIENT SURGERY CENTER INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Monterey Park, CA
• Providers in Monterey Park, 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 Nov 13, 2014; 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.