Active NPI
Specialty Surgical Center of Arcadia, LLC
- Ambulatory Surgical Clinic/Center
- Arcadia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SPECIALTY SURGICAL CENTER OF ARCADIA, LLC
- Practice address
- 51 N 5TH Ave
Ste. 101
Arcadia, CA 91006-3710 - Phone
- (626) 471-9901
- Fax
- (626) 471-9020
- NPI assigned
- Jul 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jordan Thau
- Title
- Cao, Operations
- Phone
- (310) 985-1857
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | CA | Primary |
Addresses
Primary practice location
51 N 5TH Ave
Ste. 101
Arcadia, CA 91006-3710
Mailing address
51 N 5TH Ave
Ste. 101
Arcadia, CA 91006-3710
Phone (626) 471-9901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050212000013 | CA | Part B Supplier - Ambulatory Surgical Center | 9032161526 | Practice locations: Arcadia, CA |
Hospital certification: CCN 050843
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- SPECIALTY SURGICAL CENTER OF ARCADIA LP
- Certification status
- Terminated Voluntary: merger or closure, May 11, 2023
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Feb 9, 2021
- Last certification
- Feb 9, 2021
- Beds
- 1
- Ownership / control type
- Private (for profit)
- Facility address
- 51 North 5TH Ave, Suite 101
Arcadia, CA 91006
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Specialty Surgical Center of Arcadia LP
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1025356 | Specialty Surgical Center of Arcadia, LLC | Certificate of waiver | May 4, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Alhambra, CA
- NPI 1194722801
Member Of
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Arcadia, CA
- NPI 1871574350
-
- Marriage & Family Therapist
- Encino, CA
- NPI 1427724467
-
- Otolaryngology/Facial Plastic Surgery Physician
- Arcadia, CA
- NPI 1639174576
-
- Ophthalmology Physician
- Arcadia, CA
- NPI 1467514265
-
- Specialist
- Arcadia, CA
- NPI 1689606311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776124800000",
"number": "1861408643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 N 5TH AVE",
"address_2": "STE. 101",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063710",
"telephone_number": "626-471-9901",
"fax_number": "626-471-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 N 5TH AVE",
"address_2": "STE. 101",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063710",
"telephone_number": "626-471-9901",
"fax_number": "626-471-9020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIALTY SURGICAL CENTER OF ARCADIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-31",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A",
"authorized_official_last_name": "THAU",
"authorized_official_first_name": "JORDAN",
"authorized_official_title_or_position": "CAO, OPERATIONS",
"authorized_official_telephone_number": "310-985-1857",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.