Teleos Outpatient Surgery Center LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

TELEOS OUTPATIENT SURGERY CENTER LLC

Practice address

836 S Arroyo Pkwy Ste a
Pasadena, CA 91105-3212

Phone

(626) 375-1561

Fax

(310) 988-2909

NPI assigned

Aug 23, 2017

Last updated

Aug 23, 2017By 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. Max Lehfeldt, MDNPI 1881712131

Title

Medical Director

Phone

(626) 375-1561

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962929778. Details of each certification follow.

• CCN 05C0002214 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 05C0002214

Legal name

TELEOS OUTPATIENT SURGERY CENTER, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Oct 9, 2018

Last certification

Oct 9, 2018

Ownership / control type

Proprietary

Facility address

836 South Arroyo Parkway, Suite a
Pasadena, CA 91105

Locations

Practitioners 1

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.

• Max Rudolph Lehfeldt, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Pasadena, CA
  • NPI 1881712131
  NPD (past) Authorized official

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503446400000",
    "number": "1962929778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1526",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910311526",
            "telephone_number": "626-375-1561",
            "fax_number": "310-988-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 S ARROYO PKWY STE A",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053212",
            "telephone_number": "626-375-1561",
            "fax_number": "310-988-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEOS OUTPATIENT SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A",
        "authorized_official_last_name": "LEHFELDT",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-375-1561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.