NPIMap

Organization Active NPI

Landmark Imaging Surgical Center, LLC

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1912916214
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LANDMARK IMAGING SURGICAL CENTER, LLC
Practice address
11620 Wilshire Blvd
Ste. 102
Los Angeles, CA 90025-1706
Phone
(310) 914-7336
Fax
(310) 914-1826
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Jeffrey Silverman, M.D.
Title
Managing Member
Phone
(310) 914-7336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

11620 Wilshire Blvd
Ste. 102
Los Angeles, CA 90025-1706

Mailing address

PO Box 6809
Orange, CA 92863-6809
Phone (888) 598-8820

Other identifiers 1

IdentifierTypeStateIssuer
P00609867OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

11620 Wilshire Blvd
Fl 10
Los Angeles, CA 90025
Phone (310) 914-7336

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1912916214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6809",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928636809",
            "telephone_number": "888-598-8820",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11620 WILSHIRE BLVD",
            "address_2": "STE. 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251706",
            "telephone_number": "310-914-7336",
            "fax_number": "310-914-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK IMAGING SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "SILVERMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "310-914-7336",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00609867",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.