Organization Active NPI

Specialty Surgical Center of Arcadia, LLC

  • Ambulatory Surgical Clinic/Center
  • Arcadia, CA
National Provider Identifier
1861408643
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Apr 14, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 LPCCN 05C0001697
Medicare certification status
ActiveFrom the Provider of Services file

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
05D1025356Specialty Surgical Center of Arcadia, LLC51 North Fifth Ave Ste 101, Arcadia, CA 91006Certificate of waiverMay 4, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "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

Verify at the official NPI Registry.