Centurion Surgical Center, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CENTURION SURGICAL CENTER, INC

Practice address

30200 Agoura Rd
Suite 160
Agoura Hills, CA 91301-5434

Phone

(818) 597-1278

Fax

(818) 597-1287

NPI assigned

Oct 7, 2016

Organization subpart

No

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

Authorized official

Name

Kapil K Moza, M.D.NPI 1841231248

Title

Ceo/Medical Director

Phone

(818) 597-1278

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 05C0002187

Legal name

CENTURION SURGICAL CENTER, INC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Oct 3, 2017

Last certification

Jul 16, 2021

Ownership / control type

Proprietary

Facility address

30200 Agoura Road, Suite 160
Agoura Hills, CA 91301

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kapil Moza, M.D.

  • Neurological Surgery Physician
  • Thousand Oaks, CA
  • NPI 1841231248
  NPD (past) Authorized official

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1801346309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30200 AGOURA RD",
            "address_2": "SUITE 160",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015434",
            "telephone_number": "818-597-1278",
            "fax_number": "818-597-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 AGOURA RD",
            "address_2": "SUITE 160",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015434",
            "telephone_number": "818-597-1278",
            "fax_number": "818-597-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURION SURGICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "MOZA",
        "authorized_official_first_name": "KAPIL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-597-1278",
        "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": []
}

• Anthony John Cassar, PHARMD
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• Justine Castor
• Laura Kelley Cavarretta, PHD
• Center for Eating Recovery
• Century Surgical Center
• Morgan Greer Chadderton, PMHNP
• Meriam Chaheen, L.AC.
• Changrui Liu, D.D.S., Inc., a Professional Corporation
• Joseph Bernard Charles, FNP-BC

• Ambulatory Surgical Clinic/Center in Agoura Hills, CA
• Providers in Agoura Hills, 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 Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.