Synergy Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SYNERGY SURGICAL CENTER, LLC

Practice address

696 Hampshire Rd
Westlake Village, CA 91361-2699

Phone

(818) 348-7246

NPI assigned

Feb 11, 2019

Last updated

Feb 11, 2019By 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

Rebecca Riedel, RN

Title

Director of Nursing

Phone

(818) 348-7246

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881150233. Details of each certification follow.

• CCN 050819 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 050819

Legal name

SYNERGY SURGICAL CENTER

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Sep 8, 2020

Last certification

Sep 8, 2020

Beds

1

Ownership / control type

Private (for profit)

Facility address

696 Hampshire Road
Westlake Village, CA 91361

Listed as

Synergy Surgical Center LLCCCN 05C0002243

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

Locations

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.

• Paul Bennett Johnson, M.D.

  • Interventional Pain Medicine Physician
  • West Hills, CA
  • NPI 1750449229
  NPD (past)
• Vimal S. Lala, D.O.

  • Interventional Pain Medicine Physician
  • West Hills, CA
  • NPI 1205996501
  NPD (past)

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1881150233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR STE 500",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074024",
            "telephone_number": "818-348-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 HAMPSHIRE RD",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612699",
            "telephone_number": "818-348-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "RIEDEL",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "818-348-7246",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Barbara Tagawa, P.T.
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• Megan Talmo, M.S.
• Samantha Tamburro, PSY.D.
• Eric Tamsut

• Ambulatory Surgical Clinic/Center in Westlake Village, CA
• Providers in Westlake Village, 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 Feb 11, 2019; 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.