Beverly Hills South Pacific Surgery Center Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BEVERLY HILLS SOUTH PACIFIC SURGERY CENTER INC.

Practice address

99 N la Cienega Blvd
Suite 102
Beverly Hills, CA 90211-2222

Phone

(310) 991-1975

NPI assigned

May 6, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Simin Hashemizadeh

Title

Owner

Phone

(310) 991-1975

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Ambulatory surgical center certification: CCN 05C0001916

Legal name

BEVERLY HILLS SOUTH PACIFIC SURGERY CENTER, INC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Mar 3, 2010

Last certification

Feb 22, 2022

Ownership / control type

Proprietary

Facility address

99 La Cienega Boulevard Suite 102
Beverly Hills, CA 90211

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

CLIA laboratory certificates

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1730313636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 N LA CIENEGA BLVD",
            "address_2": "SUITE 102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112222",
            "telephone_number": "310-991-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N LA CIENEGA BLVD",
            "address_2": "SUITE 102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112222",
            "telephone_number": "310-991-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS SOUTH PACIFIC SURGERY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "HASHEMIZADEH",
        "authorized_official_first_name": "SIMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-991-1975",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Hills Psychoanalytic, Inc.
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• Beverly Hills Reconstructive Specialists LLC
• Beverly Hills Reproductive Center
• Beverly Hills Specialty Dental Care
• Beverly Hills Specialty Surgical Center, Inc.
• Beverly Hills Speech & Language Center
• Beverly Hills Sports Medicine Group, Inc.
• Beverly Hills Surgery & Aesthetic Centre 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 May 6, 2009; 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.