Diagnostic and Interventional Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DIAGNOSTIC AND INTERVENTIONAL SURGICAL CENTER

Practice address

13160 Mindanao Way
Ste. 150
Marina del Rey, CA 90292

Phone

(310) 424-2000

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Brianna X Padilla

Title

Administrator / Director of Nursing

Phone

(310) 574-0426

Specialties & licenses 1

Addresses

Other names 1

• DIAGNOSTIC AND INTERVENTIONAL SURGICAL CENTER Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Diagnostic and Interventional Surgical CenterCCN 05C0002291

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.

• Hoag Orthopedic Institute LLC

  • Special Hospital
  • Irvine, CA
  • NPI 1982927877

  Member Of

  NPD member

Locations

Practitioners 2

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.

• Luis Alberto Hallman, IDMT

  • Independent Duty Medical Technicians
  • Clovis, NM
  • NPI 1396989968
  NPD
• Hooman Meir Melamed, M.D.

  • Specialist
  • Beverly Hills, CA
  • NPI 1447350053
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1740337435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY STE 150",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926393",
            "telephone_number": "310-574-0440",
            "fax_number": "310-574-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY",
            "address_2": "STE. 150",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "90292",
            "telephone_number": "310-424-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC AND INTERVENTIONAL SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-09-02",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "ADMINISTRATOR / DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "310-574-0426"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIAGNOSTIC AND INTERVENTIONAL SURGICAL CENTER",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Del Rey Surgery Center LLC
• Del Rey Surgery Center, Inc.
• Design Dental Spa
• Sonia Devgan-Kacker, MD
• Manvir Singh Dhillon, MD
• Diagnostic Village, a Medical Corporation
• Leslie Diaz
• Carolina Colette Dickson, PA-C
• Jennifer Dinardi, OTD, OTR/L
• Disc Physician Group

• Ambulatory Surgical Clinic/Center in Marina del Rey, CA
• Providers in Marina del Rey, 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 2, 2025; 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.