NPIMap

Organization Active NPI

Robertson Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1982180782
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ROBERTSON SURGERY CENTER LLC
Practice address
822 S Robertson Blvd Ste 100B
Los Angeles, CA 90035-1613
Phone
(310) 651-6937
Fax
(310) 651-6937
NPI assigned
Jul 14, 2018
Last updated
May 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
Joseph Enayati, DONPI 1134454226
Title
President/Medical Director
Phone
(310) 651-6937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X CA Primary

Addresses

Primary practice location

822 S Robertson Blvd Ste 100B
Los Angeles, CA 90035-1613

Mailing address

822 S Robertson Blvd Ste 100B
Los Angeles, CA 90035-1613
Phone (310) 651-6937

Other practice location 1

3175-A Sedona Ct
Ontario, CA 91764
Phone (310) 464-1244

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2182878Robertson Surgery Center822 S Robertson Boulevard Suite 100 B, Los Angeles, CA 90035Certificate of waiverApr 26, 2028

National Provider Directory

National Provider Directory

Locations

822 S Robertson Blvd
Ste 100B
Los Angeles, CA 90035
Phone (310) 651-6937

3175 Sedona Ct
Ste A
Ontario, CA 91764
Phone (310) 464-1244

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1531526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1982180782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD STE 100B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351613",
            "telephone_number": "310-651-6937",
            "fax_number": "310-651-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD STE 100B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351613",
            "telephone_number": "310-651-6937",
            "fax_number": "310-651-6937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3175-A Sedona Ct",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "91764",
            "country_code": "US",
            "telephone_number": "310-464-1244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROBERTSON SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-14",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "ENAYATI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-651-6937",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.