Organization Active NPI

Atlantic Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Monterey Park, CA
National Provider Identifier
1912239062
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Feb 23, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 LLCCCN 05C0001964
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2015970Atlantic Surgical Center, LLC850 S Atlantic Blvd Ste 104, Monterey Park, CA 91754Certificate of waiverNov 8, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.