Premiere Outpatient Surgery Center Corp

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PREMIERE OUTPATIENT SURGERY CENTER CORP

Practice address

7325 Medical Center Dr # 103B
West Hills, CA 91307-1925

Phone

(818) 225-0045

NPI assigned

Jun 28, 2019

Organization subpart

No

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

Authorized official

Name

Magued Fadly, M.D.NPI 1194774034

Title

President, Medical Director

Phone

(818) 225-0045

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Magued Rassem Fadly, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Woodland Hills, CA
  • NPI 1194774034
  NPD Authorized official

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1821650995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5699",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914135699",
            "telephone_number": "818-225-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 MEDICAL CENTER DR # 103B",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071925",
            "telephone_number": "818-225-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE OUTPATIENT SURGERY CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "FADLY",
        "authorized_official_first_name": "MAGUED",
        "authorized_official_title_or_position": "PRESIDENT, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-225-0045",
        "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": []
}

• Robert Jay Plotke, RPT, DC
• Tasneem A Poonawalla, M.D.
• Kassra Poosti, M.D.
• Premier Specialty Surgical Center, LLC
• Premier Womens Health Associates
• Primary Aid Home Health, Inc.
• Professional Orthopedics Medical Associates a Prof Medical Corp
• Prohealth Advanced Imaging Institute, L.L.C.
• Provident Anesthesia Medical Group Inc
• Pursuit to Wellness Center

• Ambulatory Surgical Clinic/Center in West Hills, CA
• Providers in West 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 2, 2019; 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.