Raymond Renaissance Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RAYMOND RENAISSANCE SURGERY CENTER LLC

Practice address

125 N Raymond Ave Suite 212
Pasadena, CA 91105-4535

Phone

(626) 529-3937

Fax

(626) 529-3844

NPI assigned

May 14, 2013

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Khaled Tawansy, M.DNPI 1902916711

Title

Owner

Phone

(323) 257-3300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Raymond Renaissance Surgery Center LLCCCN 05C0002060

Medicare certification status

ActiveFrom the Provider of Services file

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 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khaled Aly Tawansy, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1902916711
  Medicare reassignment NPD Authorized official
• Medhat Saad Ayad, M.D.

  • Anesthesiology Physician
  • Carbondale, IL
  • NPI 1952489403

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871939082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 N FIGUEROA ST SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90041",
            "telephone_number": "626-529-3937",
            "fax_number": "626-529-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N RAYMOND AVE SUITE 212",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911054535",
            "telephone_number": "626-529-3937",
            "fax_number": "626-529-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND RENAISSANCE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TAWANSY",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-257-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senator Rawers
• Zoe Rawson, ASW
• Yana Ray
• Gabriela Raya
• Karla Raygoza
• Raymond S Yen, MD
• Andrew John Raymond, PTA
• Dulce Irina Rayon
• Razieh Soltani Arabshahi MD Inc
• Jason Razo, RADT-1

• Ambulatory Surgical Clinic/Center in Pasadena, CA
• Providers in Pasadena, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.