NPIMap

Organization Active NPI

Altadena Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Pasadena, CA
National Provider Identifier
1780188052
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ALTADENA SURGERY CENTER, LLC
Practice address
2615 E Washington Blvd Ste 100
Pasadena, CA 91107-1412
Phone
(626) 269-2608
NPI assigned
Mar 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Authorized official

Name
Dr. Daniel Laster, M.D.NPI 1457353062
Title
Medical Director
Phone
(626) 269-2608

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

2615 E Washington Blvd Ste 100
Pasadena, CA 91107-1412

Mailing address

2615 E Washington Blvd Ste 100
Pasadena, CA 91107-1412
Phone (626) 269-2608

National Provider Directory

National Provider Directory

Locations

2615 E Washington Blvd
Ste 100
Pasadena, CA 91107
Phone (626) 269-2608

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": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1780188052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 E WASHINGTON BLVD STE 100",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071412",
            "telephone_number": "626-269-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 E WASHINGTON BLVD STE 100",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071412",
            "telephone_number": "626-269-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTADENA SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "LASTER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-269-2608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.