Spalding Triangle Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

550000124 Issued in CA

Legal business name

SPALDING TRIANGLE SURGERY CENTER, LLC

Practice address

120 S Spalding Dr Ste 115
Beverly Hills, CA 90212-1800

Phone

(424) 542-8485

Fax

(424) 542-8487

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

David W Odell

Title

Managing Member

Phone

(805) 679-7560

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Spalding Triangle Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Morgan Hill Surgery Center LPCCN 05C0001763

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

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

• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • West Hollywood, CA
  • NPI 1891940326

  Member Of

  NPD member

Locations

Practitioners 1

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

• Maury K Harwood, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Morgan Hill, CA
  • NPI 1043391352
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1720023484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR STE 115",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121800",
            "telephone_number": "424-542-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR STE 115",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121800",
            "telephone_number": "424-542-8485",
            "fax_number": "424-542-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPALDING TRIANGLE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "ODELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "805-679-7560"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "550000124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS LICENSE",
            "identifier": "550000124",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spalding Triangle Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spalding Triangle Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Selin Sozer
• Spalding Multi-Surgery Center LLC
• Spalding Outpatient Surgery Center
• Spalding Surgical Center of Beverly Hills, LLC
• Spalding Surgical Group
• Kimberly Dianne Spalding, AMFT
• Kenneth O Sparks, M.D.
• Ronald A Sparks, D.D.S.
• Specialty Surgical Center of Beverly Hills LP
• Specialty Surgical Center, LLC

• All providers in Beverly Hills, CA
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.