Active NPI
Atlantic Surgical Center, LLC
- Ambulatory Surgical Clinic/Center
- Monterey Park, CA
National Provider Identifier
1912239062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ATLANTIC SURGICAL CENTER, LLC
- Practice address
- 850 S Atlantic Blvd Ste 104
Monterey Park, CA 91754-6704 - Phone
- (626) 872-0264
- Fax
- (323) 983-9451
- NPI assigned
- Jan 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hany Malek
- Title
- Ceo
- Phone
- (626) 872-0264
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
850 S Atlantic Blvd Ste 104
Monterey Park, CA 91754-6704
Mailing address
850 S Atlantic Blvd Ste 104
Monterey Park, CA 91754-6704
Phone (626) 872-0264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110223000530 | CA | Part B Supplier - Ambulatory Surgical Center | 7113108259 | Practice locations: Monterey Park, CA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Atlantic Surgical Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2015970 | Atlantic Surgical Center, LLC | Certificate of waiver | Nov 8, 2026 |
National Provider Directory
National Provider DirectoryLocations
850 S Atlantic Blvd
Ste 104
Monterey Park, CA 91754
Phone (213) 376-3762
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Surgery Physician
- Palmdale, CA
- NPI 1487842597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771804800000",
"number": "1912239062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 S ATLANTIC BLVD STE 104",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917546704",
"telephone_number": "626-872-0264",
"fax_number": "323-983-9451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 S ATLANTIC BLVD STE 104",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917546704",
"telephone_number": "626-872-0264",
"fax_number": "323-983-9451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC SURGICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-30",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A",
"authorized_official_last_name": "MALEK",
"authorized_official_first_name": "HANY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-872-0264"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.