Ast Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A116163 Issued in CA

Legal business name

AST SURGERY CENTER, LLC

Practice address

120 S Spalding Dr Ste 200
Beverly Hills, CA 90212-1840

Phone

(310) 857-8528

NPI assigned

Nov 15, 2016

Last updated

Oct 1, 2019By 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. Neil Ghodadra, MD

Title

Medical Director

Phone

(310) 801-6741

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1932641420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9675 BRIGHTON WAY STE B1",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105144",
            "telephone_number": "310-801-6741",
            "fax_number": "310-227-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR STE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121840",
            "telephone_number": "310-857-8528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9675 Brighton Way Ste B1",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902105144",
            "country_code": "US",
            "telephone_number": "310-801-6741",
            "fax_number": "310-227-8221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AST SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "GHODADRA",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-801-6741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A116163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bassam Assassa, M.D,
• Assil Gaur Eagle Vision, PC
• Kerry K. Assil, M.D.
• Assurant Care Management & Concierge Services
• Assurant Foot and Ankle Care, Surgery & Aesthetics
• Karen Astrachan, M.A.
• Astral Elite
• Mahtab Ataipour, PSYD
• Atal Medical, Inc., a Professional Corporation
• Zeynep Irmak Atesoglu

• Ambulatory Surgical Clinic/Center in Beverly Hills, CA
• Providers in Beverly 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 Oct 1, 2019; 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.