Renew Surgery Centers Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RENEW SURGERY CENTERS INC.

Practice address

8218 Garfield Ave
Bell Gardens, CA 90201-6212

Phone

(310) 986-5469

NPI assigned

Nov 7, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Robert Azizi, MDNPI 1316101298

Title

Ceo

Phone

(310) 409-9059

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Ambulatory surgical center certification: CCN 55C0001158

Legal name

Renew Surgery Centers, Inc.

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jul 5, 2023

Last certification

Jul 5, 2023

Ownership / control type

Proprietary

Facility address

8218 Garfield Ave
Bell Gardens, CA 90201

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 1

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

• Robert Azizi, MD

  • Vascular & Interventional Radiology Physician
  • Bell Gardens, CA
  • NPI 1316101298
  NPD Authorized official

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1861100158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8218 GARFIELD AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902016212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8218 GARFIELD AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902016212",
            "telephone_number": "310-986-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW SURGERY CENTERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "AZIZI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-409-9059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime RX Bell Gardens, Inc.
• Tanya Quezada-Maciel, LCSW
• Eva Ramirez
• Frychettya Randall, PHD, MA
• Oliver Raya
• Norma Yanet Reyes Bravo
• Leny Rachel Rivas
• Robert Azizi, MD Inc.
• Maria Guadalupe Rodriguez, RNP
• Nira Rodriguez

• Ambulatory Surgical Clinic/Center in Bell Gardens, CA
• Providers in Bell Gardens, 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 Dec 22, 2022; 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.