Premier Specialty Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PREMIER SPECIALTY SURGICAL CENTER, LLC

Practice address

7230 Medical Center Dr
Suite 502-503
West Hills, CA 91307-1907

Phone

(818) 348-6014

Fax

(818) 348-7012

NPI assigned

Feb 19, 2014

Last updated

Feb 19, 2014By 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

Dr. Paul Bennett Johnson, MDNPI 1750449229

Title

Medical Director

Phone

(818) 348-6014

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912322595. Details of each certification follow.

• CCN 050808 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 050808

Legal name

PREMIER SPECIALTY SURGICAL CENTER LLC

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Jul 13, 2020

Last certification

Jul 13, 2020

Beds

1

Ownership / control type

Private (for profit)

Facility address

7230 Medical Center Drive, Suite 502
West Hills, CA 91307

Listed as

Premier Specialty Surgical Center LLCCCN 05C0002067

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 2

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.

• Paul Bennett Johnson, M.D.

  • Interventional Pain Medicine Physician
  • West Hills, CA
  • NPI 1750449229
  Authorized official Same address or phone
• Vimal S. Lala, D.O.

  • Interventional Pain Medicine Physician
  • West Hills, CA
  • NPI 1205996501
  NPD (past)

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1912322595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR",
            "address_2": "SUITE 502-503",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071907",
            "telephone_number": "818-348-6014",
            "fax_number": "818-348-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR",
            "address_2": "SUITE 502-503",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071907",
            "telephone_number": "818-348-6014",
            "fax_number": "818-348-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SPECIALTY SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "BENNETT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-348-6014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasaman Camelia Pirahanchi
• Mihael Plantak, MD
• Robert Jay Plotke, RPT, DC
• Tasneem A Poonawalla, M.D.
• Kassra Poosti, M.D.
• Premier Womens Health Associates
• Premiere Outpatient Surgery Center Corp
• Primary Aid Home Health, Inc.
• Professional Orthopedics Medical Associates a Prof Medical Corp
• Prohealth Advanced Imaging Institute, L.L.C.

• Ambulatory Surgical Clinic/Center in West Hills, CA
• Providers in West 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 Feb 19, 2014; 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.