NPIMap

Organization Active NPI

Boulevard Surgicenter, Inc.

  • Ambulatory Surgical Clinic/Center
  • Encino, CA
National Provider Identifier
1861504037
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BOULEVARD SURGICENTER, INC.
Practice address
16030 Ventura Blvd
Suite 150
Encino, CA 91436-2731
Phone
(818) 990-4545
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Saul R Berger, M.D.
Title
President
Phone
(818) 990-4545

Specialties & licenses 1

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

Addresses

Primary practice location

16030 Ventura Blvd
Suite 150
Encino, CA 91436-2731

Mailing address

16030 Ventura Blvd
Suite 150
Encino, CA 91436-2731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 05C0001749

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
BOULEVARD SURGICENTER, INC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Nov 8, 2005
Last certification
Aug 25, 2017
Ownership / control type
Proprietary
Facility address
16030 Ventura Boulevard, Suite #150
Encino, CA 91436

National Provider Directory

National Provider Directory

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861504037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16030 VENTURA BLVD",
            "address_2": "SUITE 150",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 VENTURA BLVD",
            "address_2": "SUITE 150",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362731",
            "telephone_number": "818-990-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULEVARD SURGICENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "SAUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-990-4545",
        "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 Encino, CA

Sources for this page

Verify at the official NPI Registry.