NPIMap

Organization Active NPI

Solis Surgical Arts Center Inc

  • Ambulatory Surgical Clinic/Center
  • Tarzana, CA
National Provider Identifier
1669551941
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SOLIS SURGICAL ARTS CENTER INC
Practice address
5620 Wilbur Ave. Suite 319
Tarzana, CA 91356-1351
Phone
(818) 344-4210
Fax
(818) 344-4093
NPI assigned
Nov 6, 2006
Last updated
Jan 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Kenneth Kianfu Lee, DDSNPI 1194931386
Title
Owner/President
Phone
(818) 344-4210

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 930000888 CA
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

5620 Wilbur Ave. Suite 319
Tarzana, CA 91356-1351

Mailing address

5620 Wilbur Ave Ste 319
Tarzana, CA 91356-1309
Phone (818) 344-4210

Medicare participation

Medicare enrollment files
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 1669551941. Details of each certification follow.

Ambulatory surgical center certification: CCN 05C0001353

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
SOLIS SURGICAL ARTS CENTER
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jul 23, 1996
Last certification
May 12, 2017
Ownership / control type
Proprietary
Facility address
5620 Wilbur Avenue, Suite 319
Tarzana, CA 91356

National Provider Directory

National Provider Directory

Locations

5620 Wilbur Ave
Ste 319
Tarzana, CA 91356
Phone (818) 344-4210

Practitioners & affiliated clinicians

Practitioners 2

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1669551941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 WILBUR AVE STE 319",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561309",
            "telephone_number": "818-344-4210",
            "fax_number": "818-344-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 WILBUR AVE. SUITE 319",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561351",
            "telephone_number": "818-344-4210",
            "fax_number": "818-344-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLIS SURGICAL ARTS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "KIANFU",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "818-344-4210",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "930000888",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.