Parkway Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PARKWAY SURGERY CENTER LLC

Practice address

24003A Ventura Blvd
Suite 111
Calabasas, CA 91302

Phone

(818) 285-0222

NPI assigned

Nov 14, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Justin Bass

Title

Member, Governing Body

Phone

(818) 285-0222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Ambulatory surgical center certification: CCN 55C0001223

Legal name

Parkway Surgery Center

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 24, 2025

Last certification

Nov 12, 2025

Facility address

24003A Ventura Boulevard
Calabasas, CA 91302

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Korosh Borhani, D.O.

  • Emergency Medicine Physician
  • West Hills, CA
  • NPI 1568758563
  NPD (past)

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1679347298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24003A VENTURA BLVD",
            "address_2": "SUITE 111",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "91302",
            "telephone_number": "818-285-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24003A VENTURA BLVD",
            "address_2": "SUITE 111",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "91302",
            "telephone_number": "818-285-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MEMBER, GOVERNING BODY",
        "authorized_official_telephone_number": "818-285-0222",
        "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": []
}

• Park Elite Detox LLC
• Charles Park, M.D.
• Charlene Parker, RN, NP-BC
• Krista Parker, M.A., AMFT, APCC
• Parkway Pediatric Medical Group Inc
• Melissa Pascual, M.A.
• Karen Pasquini
• Vanessa Passov, DC LAC
• Kalpesh Patel, M.D.
• James K Pathman, PH.D.

• Ambulatory Surgical Clinic/Center in Calabasas, CA
• Providers in Calabasas, 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 Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.