Organization Active NPI

Pasadena Advanced Surgery Institute

  • Ambulatory Surgical Clinic/Center
  • Pasadena, CA
National Provider Identifier
1629231782
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PASADENA ADVANCED SURGERY INSTITUTE
Practice address
1044 S Fair Oaks Ave
Suite 110
Pasadena, CA 91105-2622
Phone
(626) 768-4422
Fax
(626) 768-4421
NPI assigned
Jul 8, 2008
Last updated
Jul 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Valerie Kwan
Title
Administrator
Phone
(626) 768-4422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1044 S Fair Oaks Ave
Suite 110
Pasadena, CA 91105-2622

Mailing address

1044 S Fair Oaks Ave
Suite 110
Pasadena, CA 91105-2622
Phone (626) 768-4422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090129000128 CA Part B Supplier - Ambulatory Surgical Center 8325102767 Practice locations: Pasadena, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Pasadena Advanced Surgery InstituteCCN 05C0001877
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
05D1077011Pasadena Advanced Surgery Institute1044 S Fair Oaks Ave #110, Pasadena, CA 91105Certificate of waiverNov 28, 2027

National Provider Directory

National Provider Directory

Locations

1044 S Fair Oaks Ave
Ste 1
Pasadena, CA 91105

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1629231782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 S FAIR OAKS AVE",
            "address_2": "SUITE 110",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052622",
            "telephone_number": "626-768-4422",
            "fax_number": "626-768-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 S FAIR OAKS AVE",
            "address_2": "SUITE 110",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052622",
            "telephone_number": "626-768-4422",
            "fax_number": "626-768-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA ADVANCED SURGERY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "KWAN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-768-4422"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.