Arcadia Live Oak Surgery Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ARCADIA LIVE OAK SURGERY CENTER INC

Practice address

80 W Live Oak Ave
Arcadia, CA 91007-8561

Phone

(626) 461-5408

NPI assigned

Nov 6, 2024

Last updated

Nov 6, 2024By 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

Donald Portocarrero, DONPI 1841503570

Title

Ceo

Phone

(626) 461-5408

Specialties & licenses 1

Addresses

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 2

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.

• Donald J Portocarrero, D.O.

  • Gastroenterology Physician
  • Arcadia, CA
  • NPI 1841503570
  NPD Authorized official
• Alexander Luke De Jong, MD

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1336728930
  NPD (past)

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1841013992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 W LIVE OAK AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910078561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 W LIVE OAK AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910078561",
            "telephone_number": "626-461-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCADIA LIVE OAK SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "PORTOCARRERO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-461-5408",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arcadia Foothill Surgery Center, LLC
• Arcadia Health Chiropractic - Dr. Cassandra Sepulveda, Inc
• Arcadia Hospice Provider, Inc.
• Arcadia Hospitalist Medical Group, Inc.
• Arcadia Intensivist Group, Inc.
• Arcadia Living LLC
• Arcadia Medical Supply, Inc.
• Arcadia Methodist, Ipa
• Arcadia Open MRI Diagnostic Center
• Arcadia Operations LLC

• Ambulatory Surgical Clinic/Center in Arcadia, CA
• Providers in Arcadia, 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 Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.