Organization Active NPI

Arcadia Outpatient Surgery Center LP

  • Ambulatory Surgical Clinic/Center
  • Arcadia, CA
National Provider Identifier
1700842507
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ARCADIA OUTPATIENT SURGERY CENTER LP
Practice address
614 W Duarte Rd
Arcadia, CA 91007-7601
Phone
(626) 445-4714
NPI assigned
Apr 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Authorized official

Name
Ms. Sara Gamm
Title
Chief Administrative Officer
Phone
(626) 445-4714

Specialties & licenses 1

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

Addresses

Primary practice location

614 W Duarte Rd
Arcadia, CA 91007-7601

Mailing address

614 W Duarte Rd
Arcadia, CA 91007-7601

Other identifiers 1

IdentifierTypeStateIssuer
ZZT12104FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040130001081 CA Part B Supplier - Clinic/Group Practice 0345143830 Receives reassigned benefits from 8 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arcadia, CA; Pasadena, CA
O20080404000795 CA Part B Supplier - Ambulatory Surgical Center 0547347270 Practice locations: Arcadia, CA

Other NPIs on the same Medicare enrollment 3

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

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Arcadia Outpatient Surgery Center LPCCN 05C0001005
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0666785Arcadia Outpatient Surgery Center, LP614 West Duarte Road, Arcadia, CA 91007Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

800 Fairmount Ave
Ste 215
Pasadena, CA 91105
Phone (626) 397-5126

1060 E Green St
Ste 105
Pasadena, CA 91106
Phone (626) 796-9246

800 E Colorado Blvd
Ste 160
Pasadena, CA 91101
Phone (626) 449-8006

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1700842507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 W DUARTE RD",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 W DUARTE RD",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077601",
            "telephone_number": "626-445-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCADIA OUTPATIENT SURGERY CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "GAMM",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "626-445-4714",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT12104F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.

Verify at the official NPI Registry.