Organization Active NPI

Disc Surgery Center at Marina del Rey LLC

  • Ambulatory Surgical Clinic/Center
  • Marina del Rey, CA
National Provider Identifier
1750071007
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
DISC SURGERY CENTER AT MARINA DEL REY LLC
Practice address
4553 Glencoe Ave Ste 100
Marina del Rey, CA 90292-7917
Phone
(949) 988-7828
Fax
(949) 988-7869
NPI assigned
May 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Mrs. Karen ReiterNPI 1902933070
Title
VP Operations and Payor Management
Phone
(949) 988-7828

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

4553 Glencoe Ave Ste 100
Marina del Rey, CA 90292-7917

Mailing address

4553 Glencoe Ave Ste 100
Marina del Rey, CA 90292-7917
Phone (949) 988-7828

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
05D2293349Disc Surgery Center at Marina del Rey4553 Glencoe Ave, Suite 100, Marina del Rey, CA 90292Certificate of waiverNov 6, 2027

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": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1750071007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4553 GLENCOE AVE STE 100",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927917",
            "telephone_number": "949-988-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4553 GLENCOE AVE STE 100",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927917",
            "telephone_number": "949-988-7828",
            "fax_number": "949-988-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISC SURGERY CENTER AT MARINA DEL REY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "REITER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "VP OPERATIONS AND PAYOR MANAGEMENT",
        "authorized_official_telephone_number": "949-988-7828",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.