Torrance Ca Multispecialty ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

930000223 Issued in CA

Legal business name

TORRANCE CA MULTISPECIALTY ASC LLC

Doing business as

Surgery Center of South Bay

Practice address

23500 Madison St
Torrance, CA 90505-4702

Phone

(310) 784-2710

Fax

(310) 326-9137

NPI assigned

Oct 18, 2007

Last updated

Sep 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Phillip A Clendenin

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Surgery Center of South Bay Doing business as

Listed as

Surgery Center of South BayCCN 05C0001013

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

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

• Torrance Memorial Medical Center

  • Skilled Nursing Facility
  • Torrance, CA
  • NPI 1740268713

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Riad Adoumie, M.D.

  • Vascular Surgery Physician
  • Torrance, CA
  • NPI 1467465930
  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1730378498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23500 MADISON ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054702",
            "telephone_number": "310-784-2710",
            "fax_number": "310-326-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23500 MADISON ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054702",
            "telephone_number": "310-784-2710",
            "fax_number": "310-326-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TORRANCE CA MULTISPECIALTY ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "CLENDENIN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "930000223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00724945",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01013G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Center of South Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Tordo
• Tormed Womens Medical Group Inc
• Carina Toro
• Torrance Anesthesia Medical Group Inc.
• Torrance Audiology Center, PC
• Torrance Care Center East, Inc. (Torrance Care Center East)
• Torrance Care Center West, Inc. (Torrance Care Center West)
• Torrance Cbas Inc. (Torrance Cbas)
• Torrance CLHF, Inc
• Torrance Dental Care

• Ambulatory Surgical Clinic/Center in Torrance, CA
• Providers in Torrance, 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 Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.