Beverly Hills Outpatient Surgery Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BEVERLY HILLS OUTPATIENT SURGERY CENTER INC

Practice address

50 N la Cienega Blvd Ste 203
Beverly Hills, CA 90211-2246

Phone

(510) 364-5000

NPI assigned

Sep 24, 2020

Organization subpart

No

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

Authorized official

Name

Puneet Kumar Chandak, MDNPI 1043276900

Title

Ceo

Phone

(415) 595-8687

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Ambulatory surgical center certification: CCN 55C0001222

Legal name

Beverly Hills Outpatient Surgery Center

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jun 9, 2021

Last certification

Apr 16, 2021

Facility address

50 N La Cienega Blvd
Beverly Hills, CA 90211

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Amit Gupta MD, Inc

  • Urology Physician
  • Los Angeles, CA
  • NPI 1154990513

  O20210713000985

  Same enrollment

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 2

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

• Puneet Chandak, M.D.

  • Nuclear Medicine Physician
  • Fremont, CA
  • NPI 1043276900
  Medicare reassignment NPD Authorized official
• Amit Gupta, MD

  • Urology Physician
  • Los Angeles, CA
  • NPI 1548464332
  Medicare reassignment NPD

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1699382523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39120 ARGONAUT WAY # 827",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381304",
            "telephone_number": "510-715-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N LA CIENEGA BLVD STE 203",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112246",
            "telephone_number": "510-364-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS OUTPATIENT SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "CHANDAK",
        "authorized_official_first_name": "PUNEET",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-595-8687",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A79514",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Hills Oncology Medical Group Inc (Beverly Hills Cancer Center)
• Beverly Hills Operatory
• Beverly Hills Orthopedic Center, Inc.
• Beverly Hills Orthopedic Institute
• Beverly Hills OT
• Beverly Hills Pain Institute & Neurology Corporation
• Beverly Hills Pediatric Dental Care, Inc
• Beverly Hills Pediatric Surgery
• Beverly Hills Pediatrics
• Beverly Hills Penthouse Anesthesia Services, Inc

• Ambulatory Surgical Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, 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 Feb 20, 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.