M-S Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

S551041 Issued in CA

Legal business name

M-S SURGERY CENTER LLC

Practice address

3510 Martin Luther King Jr Blvd
Lynwood, CA 90262-2010

Phone

(310) 638-9391

Fax

(310) 603-8749

NPI assigned

Aug 9, 2006

Last updated

Mar 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hanna John Shammas, M.D.

Title

Owner

Phone

(310) 638-9391

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831109875. Details of each certification follow.

• CCN 55C0001041 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 55C0001041

Legal name

M/S SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 13, 1986

Last certification

Oct 6, 2021

Ownership / control type

Proprietary

Facility address

3510 Martin Luther King Blvd
Lynwood, CA 90262

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• M/S Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Whittier, CA
  • NPI 1578994265

  3476642679

  Same PAC ID

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

CLIA laboratory certificates

Practitioners 3

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.

• Renu Jivrajka, M.D,

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1144452152
  Medicare reassignment NPD
• Huy Quang Ly, M.D.

  • Ophthalmology Physician
  • Long Beach, CA
  • NPI 1659735835
  Medicare reassignment NPD
• Thanh-Thao T Vu, MD

  • Ophthalmology Physician
  • Lynwood, CA
  • NPI 1912565144
  Medicare reassignment NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1831109875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 MARTIN LUTHER KING JR BLVD",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622010",
            "telephone_number": "310-638-9391",
            "fax_number": "310-603-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 MARTIN LUTHER KING JR BLVD",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622010",
            "telephone_number": "310-638-9391",
            "fax_number": "310-603-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M-S SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "SHAMMAS",
        "authorized_official_first_name": "HANNA",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-638-9391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "S551041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR51041G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynwood Skilled Nursing Center LLC
• Lynwood Unified School District
• Lynwood United Medical
• Lynwood United Medical Corporation
• Lacey Lyons, RD, CNSC
• Juan Angel Madrigal
• Janet Magana
• Lorena Magana
• Maged M Faragalla, MD, Inc
• Gina Cindy Mai

• Ambulatory Surgical Clinic/Center in Lynwood, CA
• Providers in Lynwood, 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 Mar 17, 2009; 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.