Organization Active NPI

California Surgical Specialty Group,Inc

  • Ambulatory Surgical Clinic/Center
  • Northridge, CA
National Provider Identifier
1851647549
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CALIFORNIA SURGICAL SPECIALTY GROUP,INC
Practice address
17114 Devonshire St Ste 102
Northridge, CA 91325-1619
Phone
(818) 998-6600
Fax
(818) 659-7694
NPI assigned
Jul 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Authorized official

Name
Dr. Kamyar Amini, M.D.NPI 1609067040
Title
President
Phone
(818) 998-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

17114 Devonshire St Ste 102
Northridge, CA 91325-1619

Mailing address

17114 Devonshire St Ste 102
Northridge, CA 91325-1619
Phone (818) 998-6600

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
05D2162649California Surgical Specialty Inc17114 Devonshire Street, Suite 102, Northridge, CA 91325Certificate of waiverFeb 26, 2027

National Provider Directory

National Provider Directory

Locations

17114 Devonshire St
Ste 102
Northridge, CA 91325
Phone (818) 998-6600

8435 Reseda Blvd
Northridge, CA 91324
Phone (818) 712-0776

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584662400000",
    "number": "1851647549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17114 DEVONSHIRE ST STE 102",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251619",
            "telephone_number": "818-998-6600",
            "fax_number": "818-659-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17114 DEVONSHIRE ST STE 102",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251619",
            "telephone_number": "818-998-6600",
            "fax_number": "818-659-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA SURGICAL SPECIALTY GROUP,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A",
        "authorized_official_last_name": "AMINI",
        "authorized_official_first_name": "KAMYAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-998-6600",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.