Physicians Surgery Center at Glendale Adventist, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PHYSICIANS SURGERY CENTER AT GLENDALE ADVENTIST, LLC

Practice address

1500 E Chevy Chase Dr
Suite #101
Glendale, CA 91206-4152

Phone

(818) 863-4225

Fax

(818) 863-4943

NPI assigned

Feb 21, 2014

Last updated

Feb 21, 2014By 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

Mrs. Lora Michelle Altis-Parkhurst, RN

Title

Administrative Director

Phone

(818) 863-4225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Physicians Surgery Center at Glendale Adventist LLCCCN 05C0002061

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.

• Glendale Adventist Medical Center

  dba Adventist Health Glendale

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1831188275

  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.

• Philip Ormond Merritt, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Glendale, CA
  • NPI 1083696074
  NPD
• Srinath Samudrala, M.D.

  • Neurological Surgery Physician
  • Pomona, CA
  • NPI 1558302943
  NPD (past)

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1760807127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E CHEVY CHASE DR",
            "address_2": "SUITE #101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064152",
            "telephone_number": "818-863-4225",
            "fax_number": "818-863-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E CHEVY CHASE DR",
            "address_2": "SUITE #101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064152",
            "telephone_number": "818-863-4225",
            "fax_number": "818-863-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS SURGERY CENTER AT GLENDALE ADVENTIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "ALTIS-PARKHURST",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "818-863-4225",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip H a Lee MD and Center for Advanced Dermatology (Glendale Laser and Dermatology Associates)
• Cindy Chu Phillips, MPT, OCS
• Joseph Anthony Phillips
• Shwe Phyo
• Physicians Choice Medical, Inc (Physicians Choice DME)
• Physicians Terrace Surgery Center, LLC
• Kelly Pickering, PA-C
• Rene E Pidoux, MD
• Catherine Pierce
• Tracy Pierre, MS

• Ambulatory Surgical Clinic/Center in Glendale, CA
• Providers in Glendale, 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 Feb 21, 2014; 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.