Bay Area Laser Surgery Center, a Medical Corporation

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BAY AREA LASER SURGERY CENTER, A MEDICAL CORPORATION

Practice address

1599 Tara Hills Dr
Pinole, CA 94564-2519

Phone

(510) 724-7629

NPI assigned

May 29, 2007

Last updated

Jul 3, 2019By 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

Armen Serebrakian, M.D.NPI 1750314704

Title

Partner Owner

Phone

(510) 724-7629

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Bay Area Laser Surgery Center a Medical CorporationCCN 05C0001806

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

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.

• Armen Serebrakian, M.D.

  • Otolaryngology Physician
  • Pinole, CA
  • NPI 1750314704
  NPD Authorized official

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1750582797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 TARA HILLS DR",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 TARA HILLS DR",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642519",
            "telephone_number": "510-724-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA LASER SURGERY CENTER, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "SEREBRAKIAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "PARTNER OWNER",
        "authorized_official_telephone_number": "510-724-7629",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azucena Barocio, PA-C
• Barry E Breaux MD Inc
• Sabrina Basra
• Richard Eugene Batts, M.D.
• Bay Area Hearing Services
• Bay Area Surgical Associates, LLC
• Bay Area Surgical Specialists, Inc. a Medical Corporation
• Frank Beavers, D.D.S.
• Maria Jose Bendana
• Elinor Anne Benefield

• Ambulatory Surgical Clinic/Center in Pinole, CA
• Providers in Pinole, 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 Jul 3, 2019; 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.