Active NPI
Santa Clarita Surgery Center LP
- Ambulatory Surgical Clinic/Center
- Santa Clarita, CA
National Provider Identifier
1679504690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SANTA CLARITA SURGERY CENTER LP
- Practice address
- 26357 McBean Pkwy
Ste 100
Santa Clarita, CA 91355-4489 - Phone
- (661) 799-8300
- Fax
- (661) 799-8333
- NPI assigned
- Jul 6, 2006
- 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
- Eric Boon
- Title
- Authorized Official
- Phone
- (480) 567-0269
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
26357 McBean Pkwy
Ste 100
Santa Clarita, CA 91355-4489
Mailing address
26357 McBean Pkwy
Ste 100
Santa Clarita, CA 91355-4489
Phone (661) 799-8300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060720000271 | CA | Part B Supplier - Ambulatory Surgical Center | 4284647041 | Practice locations: Santa Clarita, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1051263 | Santa Clarita Surgery Center Dba | Certificate of waiver | Jan 5, 2027 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728604800000",
"number": "1679504690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26357 MCBEAN PKWY",
"address_2": "STE 100",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913554489",
"telephone_number": "661-799-8300",
"fax_number": "661-799-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26357 MCBEAN PKWY",
"address_2": "STE 100",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913554489",
"telephone_number": "661-799-8300",
"fax_number": "661-799-8333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA CLARITA SURGERY CENTER LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A",
"authorized_official_last_name": "BOON",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "480-567-0269"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.