Doheny Endosurgical Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

69377 Issued in CA

Legal business name

DOHENY ENDOSURGICAL CENTER INC

Practice address

9090 Wilshire Blvd
Suite 100
Beverly Hills, CA 90211-1848

Phone

(310) 246-2555

Fax

(310) 285-0819

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan C Ellis, M.D.NPI 1306876263

Title

Medical Director

Phone

(310) 550-0400

Specialties & licenses 1

Addresses

Other names 1

• Doheny Endosurgical Center Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 05C0001751

Legal name

DOHENY ENDOSURGICAL CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Dec 21, 2005

Last certification

May 12, 2016

Ownership / control type

Proprietary

Facility address

9090 Wilshire Boulevard, Suite 100
Beverly Hills, CA 90211

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan C Ellis, MD

  • Gastroenterology Physician
  • Beverly Hills, CA
  • NPI 1306876263
  NPD (past) Authorized official

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1881642288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 WILSHIRE BLVD",
            "address_2": "SUITE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111848",
            "telephone_number": "310-246-2555",
            "fax_number": "310-285-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 WILSHIRE BLVD",
            "address_2": "SUITE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111848",
            "telephone_number": "310-246-2555",
            "fax_number": "310-285-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOHENY ENDOSURGICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-550-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "69377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doheny Endosurgical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeri A Doane, PHD
• Doctor Michele, LLC
• Doctor Retina
• William Dodd, HAD
• Suhail Y Dohad, M.D.
• Doheny Surgery Center, LLC
• Elisabeth Doherty
• Danny Don
• Donald B Yoo MD Inc
• Sharhonda Rhonette Donald, DNP, PMHNP, MSN

• Ambulatory Surgical Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, 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 Aug 31, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.