Organization Active NPI

Huntington Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Pasadena, CA
National Provider Identifier
1801199039
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
N/A Issued in CA
Legal business name
HUNTINGTON AMBULATORY SURGERY CENTER, LLC
Practice address
625 S. Fair Oaks Avenue
Suite 380
Pasadena, CA 91105
Phone
(626) 229-8999
Fax
(626) 229-8980
NPI assigned
Dec 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Authorized official

Name
Mr. Rajinder S. Takhar
Title
Senior Vice President
Phone
(626) 397-5555

Specialties & licenses 1

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

Addresses

Primary practice location

625 S. Fair Oaks Avenue
Suite 380
Pasadena, CA 91105

Mailing address

625 S. Fair Oaks Avenue
Suite 380
Pasadena, CA 91105
Phone (626) 229-8999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110511000205 CA Part B Supplier - Ambulatory Surgical Center 7810173762 Practice locations: Pasadena, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Huntington Ambulatory Surgery CenterCCN 05C0001975
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2026002Huntington Ambulatory Surgery Center625 S Fair Oaks Ave Ste 380, Pasadena, CA 91105Certificate of waiverJun 21, 2027

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1801199039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S. FAIR OAKS AVENUE",
            "address_2": "SUITE 380",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91105",
            "telephone_number": "626-229-8999",
            "fax_number": "626-229-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S. FAIR OAKS AVENUE",
            "address_2": "SUITE 380",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91105",
            "telephone_number": "626-229-8999",
            "fax_number": "626-229-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "TAKHAR",
        "authorized_official_first_name": "RAJINDER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "626-397-5555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "N/A",
            "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 Apr 29, 2020; 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.