Encino Outpatient Surgery Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ENCINO OUTPATIENT SURGERY CENTER, LLC

Practice address

16311 Ventura Boulevard
Suite 580
Encino, CA 91436-4314

Phone

(818) 986-1037

Fax

(818) 986-1800

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Suhel Siddiqui

Title

Ceo

Phone

(818) 986-1037

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Encino Outpatient Surgery Center LLCCCN 55C0001080

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

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

• Richard D David, M.D.

  • Urology Physician
  • Sherman Oaks, CA
  • NPI 1427158245
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1629132360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BOULEVARD",
            "address_2": "SUITE 580",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364314",
            "telephone_number": "818-986-1037",
            "fax_number": "818-986-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BOULEVARD",
            "address_2": "SUITE 580",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364314",
            "telephone_number": "818-986-1037",
            "fax_number": "818-986-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCINO OUTPATIENT SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SUHEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-986-1037",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Encino Neurodiagnostic Center
• Encino Neurological Medical Group
• Encino Open MRI Inc
• Encino Optometric Center Corp.
• Encino Orthodontics
• Encino Place Pain & Surgery Center LLC
• Encino Place Pain Management and Surgery Center Inc
• Encino Place Pain Management and Surgery Center, Inc.
• Encino Place Surgery Center
• Encino Plaza Surgical Center

• Clinic/Center in Encino, CA
• Providers in Encino, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.