Active NPI
LB Surgical Center LLC
- Ambulatory Surgical Clinic/Center
- Long Beach, CA
National Provider Identifier
1669869111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- LB SURGICAL CENTER LLC
- Practice address
- 2880 Atlantic Ave
180
Long Beach, CA 90806-1714 - Phone
- (562) 330-2800
- NPI assigned
- Apr 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erik Simmons
- Title
- Administrator
- Phone
- (310) 674-0144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
2880 Atlantic Ave
180
Long Beach, CA 90806-1714
Mailing address
PO Box 881840
Los Angeles, CA 90009-3013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150623002282 | CA | Part B Supplier - Ambulatory Surgical Center | 4789995341 | Practice locations: Long Beach, CA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- LB Surgical Center LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Los Angeles, CA
- NPI 1679644983
-
- Specialist
- Los Angeles, CA
- NPI 1952322984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490313600000",
"number": "1669869111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 881840",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900093013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 ATLANTIC AVE",
"address_2": "180",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061714",
"telephone_number": "562-330-2800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LB SURGICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-22",
"last_updated": "2017-03-24",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "ERIK",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "310-674-0144"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.