90210 Surgery Medical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

90210 SURGERY MEDICAL CENTER, LLC

Doing business as

90210 Surgery Medical Center at Linden

Practice address

9735 Wilshire Blvd
Suite 100
Beverly Hills, CA 90212-2107

Phone

(310) 601-3900

Fax

(310) 601-3905

NPI assigned

May 24, 2006

Last updated

Jan 23, 2018By 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

Mr. Brian Giessler

Title

Coo

Phone

(480) 207-3716

Specialties & licenses 1

Addresses

Other names 1

• 90210 SURGERY MEDICAL CENTER AT LINDEN Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902851009. Details of each certification follow.

• CCN 050828 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 050828

Legal name

92010 SURGERY MEDICAL CENTER AT LINDEN

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Dec 31, 2020

Last certification

Dec 31, 2020

Beds

1

Ownership / control type

Private (for profit)

Facility address

9735 Wilshire Blvd, Suite 100
Beverly Hills, CA 90212

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• 90210 Surgery Medical Center, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Beverly Hills, CA
  • NPI 1295769131

  8628162690

  Same PAC ID

Listed as

Beverly Hills Surgery Center LPCCN 05C0001745

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • West Hollywood, CA
  • NPI 1891940326

  Member Of

  NPD member

Practitioners 3

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.

• David Josephson, MD

  • Urology Physician
  • Los Angeles, CA
  • NPI 1063510840
  NPD
• Denise D. Brathwaite, M.D.

  • Anesthesiology Physician
  • San Pedro, CA
  • NPI 1770524605
  NPD (past)
• Ajay K. Masih, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Los Angeles, CA
  • NPI 1013072537
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1902851009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N 44TH ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187244",
            "telephone_number": "480-207-3737",
            "fax_number": "623-266-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD",
            "address_2": "SUITE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122107",
            "telephone_number": "310-601-3900",
            "fax_number": "310-601-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "90210 SURGERY MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "GIESSLER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "480-207-3716",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "90210 SURGERY MEDICAL CENTER AT LINDEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 90210 Surgery Center
• 90210 Surgery Medical Center, LLC
• 90210 Surgical Associates LLC
• 9301 Wilshire Surgery Inc.
• A Ebbie Soroudi, MD, Ms, Apmc (Soroudi Advanced Lasik & Eye Center)
• A Kevin Aminian M.D. PMC
• A R T Reproductive Center, Inc.

• 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 Jan 23, 2018; 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.