Organization Active NPI

Genesis Ambulatory Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1982932687
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GENESIS AMBULATORY SURGICAL CENTER
Practice address
420 E 3Rd St Ste 604
Los Angeles, CA 90013-1645
Phone
(213) 626-3330
Fax
(213) 652-1948
NPI assigned
Nov 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Schlomo Schmuel, M.D.
Title
Medica Director
Phone
(818) 366-0474

Specialties & licenses 1

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

Addresses

Primary practice location

420 E 3Rd St Ste 604
Los Angeles, CA 90013-1645

Mailing address

420 E 3Rd St Ste 604
Los Angeles, CA 90013-1645
Phone (213) 626-3330

National Provider Directory

National Provider Directory

Locations

420 E 3rd St
Ste 604
Los Angeles, CA 90013
Phone (213) 617-9194

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1982932687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST STE 604",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131645",
            "telephone_number": "213-626-3330",
            "fax_number": "213-652-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST STE 604",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131645",
            "telephone_number": "213-626-3330",
            "fax_number": "213-652-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS AMBULATORY SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "SCHMUEL",
        "authorized_official_first_name": "SCHLOMO",
        "authorized_official_title_or_position": "MEDICA DIRECTOR",
        "authorized_official_telephone_number": "818-366-0474",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "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 Jan 26, 2012; 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.