NPIMap

Organization Active NPI

Roxbury Specialty Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1790109312
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
104151 Issued in CA
Legal business name
ROXBURY SPECIALTY SURGERY CENTER, LLC
Practice address
436 N Roxbury Dr
Suite 207
Beverly Hills, CA 90210-5026
Phone
(310) 385-2601
Fax
(626) 331-3204
NPI assigned
Feb 18, 2014
Last updated
Feb 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
Abdullah J Khalil, M.D.NPI 1942342472
Title
Owner
Phone
(310) 385-8601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 104151 CA Primary

Addresses

Primary practice location

436 N Roxbury Dr
Suite 207
Beverly Hills, CA 90210-5026

Mailing address

436 N Roxbury Dr
Suite 207
Beverly Hills, CA 90210-5026
Phone (310) 385-2601

Other names 1

  • ABDULLAH J KHALIL SOLE MBR Former legal business name

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1790109312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N ROXBURY DR",
            "address_2": "SUITE 207",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105026",
            "telephone_number": "310-385-2601",
            "fax_number": "626-331-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N ROXBURY DR",
            "address_2": "SUITE 207",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105026",
            "telephone_number": "310-385-2601",
            "fax_number": "626-331-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXBURY SPECIALTY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "ABDULLAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-385-8601",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "104151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABDULLAH J KHALIL SOLE MBR",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 18, 2014; 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.