Empire Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EMPIRE SURGICAL CENTER

Practice address

4480 Mills Cir
Ontario, CA 91764-5206

Phone

(909) 515-7174

NPI assigned

Jun 19, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Andy Navid

Title

President

Phone

(909) 515-7174

Specialties & licenses 1

Addresses

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.

• Adil Navid

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
  • NPI 1104507128
  NPD

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1629753413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 MILLS CIR",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645206",
            "telephone_number": "909-515-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 MILLS CIR",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645206",
            "telephone_number": "909-515-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "NAVID",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-515-7174",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Roxanne Ellison
• Layla Eltejaye
• Nicholas Wesley Ely, MD
• Emeel Ghobrial Dental Corp.
• Empire Health System LLC
• Empire Surgical Institute LLC
• Elva Enciso
• Salvador Andrez Enciso
• Alexandra Engen
• Enmed, LLC (Quality Home Health Agency)

• Ambulatory Surgical Clinic/Center in Ontario, CA
• Providers in Ontario, 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 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.