Prestige Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PRESTIGE SURGICAL CENTER LLC

Practice address

18425 Burbank Blvd Ste 105a
Tarzana, CA 91356-2806

Phone

(818) 774-2755

NPI assigned

Jul 26, 2023

Organization subpart

No

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

Authorized official

Name

Ara Salazar

Title

Manager

Phone

(818) 774-2755

Specialties & licenses 1

Addresses

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 7

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

• Graviela Barrios, FNP

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
  • NPI 1538943386
  NPD (past)
• Sukhdeep Kaur

  • Physician Assistant
  • Corona, CA
  • NPI 1851953186
  NPD (past)
• Sukhwinder Kaur

  • Family Nurse Practitioner
  • Woodland Hills, CA
  • NPI 1063115897
  NPD (past)
• Maged S. Mikhail, M.D.

  • Vascular Surgery Physician
  • Tarzana, CA
  • NPI 1316978299
  NPD (past)
• Shahram Salimitari, M.D.

  • Surgery Physician
  • Encino, CA
  • NPI 1043419484
  NPD (past)
• Khashayar Sarabi, M.D.

  • General Practice Physician
  • Irvine, CA
  • NPI 1467650846
  NPD (past)
• Hooman Shabatian, M.D.

  • Surgery Physician
  • Encino, CA
  • NPI 1720201379
  NPD (past)

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1902587637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16927",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914166927",
            "telephone_number": "818-774-2755",
            "fax_number": "818-343-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD STE 105A",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562806",
            "telephone_number": "818-774-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "ARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-774-2755"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desarae Powell, LCSW
• Clay Powers
• Precious Treatment
• Precision Surgical Nursing Solutions Inc
• Preferred Medical Supplies LLC
• Ruben Preuss, LMFT
• Jamey Price
• Jeffrey William Priess
• Prime Home Care Services Inc
• Jonathan Andrew Prince, M.D.

• Ambulatory Surgical Clinic/Center in Tarzana, CA
• Providers in Tarzana, 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 Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.