Organization Active NPI

Encore Surgery Center Inc.

  • Ambulatory Surgical Clinic/Center
  • Covina, CA
National Provider Identifier
1720748692
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ENCORE SURGERY CENTER INC.
Practice address
300 W Badillo St
Covina, CA 91723-1827
Phone
(626) 332-1388
Fax
(626) 699-3327
NPI assigned
Dec 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Arvind Lapsiwala, M.D.NPI 1154428324
Title
Medical Director
Phone
(626) 332-1388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

300 W Badillo St
Covina, CA 91723-1827

Mailing address

554 E San Bernardino Rd Ste 200
Covina, CA 91723-1749
Phone (626) 332-1388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220423000097 CA Part B Supplier - Ambulatory Surgical Center 8426445321 Practice locations: Covina, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Encore Surgery Center IncCCN 55C0001168
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
05D2258463Encore Surgery Center Inc300 W Badillo Street, Covina, CA 91723Certificate of waiverApr 20, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1720748692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 E SAN BERNARDINO RD STE 200",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231749",
            "telephone_number": "626-332-1388",
            "fax_number": "626-727-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231827",
            "telephone_number": "626-332-1388",
            "fax_number": "626-699-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE SURGERY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2024-11-22",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "LAPSIWALA",
        "authorized_official_first_name": "ARVIND",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-332-1388",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.