Organization Active NPI

Summit Surgical Associates LLC

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1740371665
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SUMMIT SURGICAL ASSOCIATES LLC
Practice address
416 N Bedford Dr Ste 400
Beverly Hills, CA 90210-4318
Phone
(310) 275-5566
Fax
(310) 271-0521
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Authorized official

Name
Debbie Lee Krawczyk
Title
Administrator
Phone
(310) 859-9988

Specialties & licenses 1

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

Addresses

Primary practice location

416 N Bedford Dr Ste 400
Beverly Hills, CA 90210-4318

Mailing address

416 N Bedford Dr Ste 400
Beverly Hills, CA 90210-4318
Phone (310) 275-5566

Other identifiers 1

IdentifierTypeStateIssuer
2276OtherASF CERT NUMBER

Other names 1

  • Summit Surgical Center Doing business as

National Provider Directory

National Provider Directory

Locations

416 N Bedford Dr
Ste 400
Beverly Hills, CA 90210
Phone (310) 275-5566

416 N Bedford Dr
Ste 400B
Beverly Hills, CA 90210
Phone (310) 859-9988

Practitioners & affiliated clinicians

Practitioners 2

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1740371665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N BEDFORD DR STE 400",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104318",
            "telephone_number": "310-275-5566",
            "fax_number": "310-271-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N BEDFORD DR STE 400",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104318",
            "telephone_number": "310-275-5566",
            "fax_number": "310-271-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "KRAWCZYK",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-859-9988"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASF CERT NUMBER",
            "identifier": "2276",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.