Concourse Diagnostic and Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CONCOURSE DIAGNOSTIC AND SURGERY CENTER, LLC

Doing business as

Concourse Diagnostic and Surgery Center

Practice address

18575 Gale Ave Ste 198
City of Industry, CA 91748-1382

Phone

(626) 965-3880

NPI assigned

Jun 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Henry H. Chang, M.D.NPI 1023162765

Title

Medical Director

Phone

(562) 273-5378

Specialties & licenses 1

Addresses

Other names 2

• CONCOURSE DIAGNOSTIC AND SURGERY CENTER Doing business as
• CONCOURSE DIAGNOSTIC SURGERY CENTER,LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Concourse Diagnostic Surgery Center, LLC

  dba Concourse Diagnostic and Surgery Center ( Alhambra Branch)

  • Surgery Physician
  • Alhambra, CA
  • NPI 1902576234

  9335319045

  Same PAC ID

Listed as

Concourse Diagnostic and Surgery Center LLCCCN 05C0001980

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

Tax ID family

Concourse Diagnostic Surgery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Concourse Diagnostic Surgery Center, LLC

  dba Concourse Diagnostic and Surgery Center ( Alhambra Branch)

  • Surgery Physician
  • Alhambra, CA
  • NPI 1902576234
  NPD tax ID

Member of 1

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

• Concourse Diagnostic Surgery Center, LLC

  dba Concourse Diagnostic and Surgery Center ( Alhambra Branch)

  • Surgery Physician
  • Alhambra, CA
  • NPI 1902576234

  Member Of

  NPD member

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Concourse Diagnostic Surgery Center, LLC

  dba Concourse Diagnostic and Surgery Center ( Alhambra Branch)

  • Surgery Physician
  • Alhambra, CA
  • NPI 1902576234
  NPPES parent name

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.

• Henry Chang, MD

  • Anesthesiology Physician
  • Alhambra, CA
  • NPI 1023162765
  NPD Authorized official
• Kenneth T Sim, MD

  • Surgery Physician
  • Monterey Park, CA
  • NPI 1831109578
  NPD

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1932496908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18575 E. GALE AVE",
            "address_2": "STE 198",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481340",
            "telephone_number": "626-965-3880",
            "fax_number": "626-965-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18575 GALE AVE STE 198",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481382",
            "telephone_number": "626-965-3880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15141 Whittier Blvd",
            "address_2": "Unit 130",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "90603",
            "country_code": "US",
            "telephone_number": "562-273-5378",
            "fax_number": "562-273-5145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 S Garfield Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Alhambra",
            "state": "CA",
            "postal_code": "918015860",
            "country_code": "US",
            "telephone_number": "626-872-0339",
            "fax_number": "626-872-0340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONCOURSE DIAGNOSTIC AND SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-273-5378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONCOURSE DIAGNOSTIC AND SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CONCOURSE DIAGNOSTIC SURGERY CENTER,LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Karina Cohill
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• Complete Care Medical Associates, a Medical Corporation
• Vanessa Conchas
• Concourse RX Pharmacy Inc (Concourse Rx)
• Tiffany Conejo
• Jill Garcia Cooper
• Ryan Alexander Cortez
• Yvonne Vanessa Cortez

• Ambulatory Surgical Clinic/Center in City of Industry, CA
• Providers in City of Industry, 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 Apr 28, 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.