BRENTWOOD AMBULATORY SURGICAL MEDICAL CENTER (NPI# 1588737035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588737035 |
| Entity Type | Organization |
| Organization Name | BRENTWOOD AMBULATORY SURGICAL MEDICAL CENTER |
| Practice Address |
11645 Wilshire Blvd 905 Los Angeles CA 90025-1708 |
| Mailing Address |
11645 Wilshire Blvd Los Angeles CA 90025-1708 |
| Practice Telephone | 3104429262 |
| Mailing Telephone | 3104429262 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. RANDI FETT (ADMINISTRATOR) |
| Authorized Official Telephone | 3104429262 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
9300009000 | CA | Ambulatory Health Care Facilities |
| Street Address |
11645 WILSHIRE BLVD 905 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063475986 | Scott Ritchey Sale | Specialist | 11645 Wilshire Blvd, Suite 1090, Los Angeles, CA 90025-1708 | 2006-04-11 |
| 1801244108 | Nicole Karman Gilbert | Psychologist | 11645 Wilshire Blvd, Suite 1065, Los Angeles, CA 90025-1708 | 2016-05-26 |
| 1972988491 | Eric J. Meinhardt, M.d., A Professional Corporation | Dermatology | 11645 Wilshire Blvd, 1080, Los Angeles, CA 90025-1708 | 2015-07-26 |
| 1821482258 | Taraneh F. Noorvash Dds Inc | Clinic/Center | 11645 Wilshire Blvd, Suite 1060, Los Angeles, CA 90025-1708 | 2015-03-24 |
| 1245638253 | Maurice Firouz, D.d.s., Inc. | Clinic/Center | 11645 Wilshire Blvd, 1060, Los Angeles, CA 90025-1708 | 2014-12-08 |
| 1619374238 | Maurice K Masliah | Dentist | 11645 Wilshire Blvd, Ste 1158, Los Angeles, CA 90025-1708 | 2014-11-25 |
| 1720322415 | Brentwood Medical Group A Professional Medical Corp | Internal Medicine | 11645 Wilshire Blvd, Suite 745, Los Angeles, CA 90025-1708 | 2012-11-19 |
| 1023360039 | Med-x Drug & Alcohol Testing Services | Legal Medicine | 11645 Wilshire Blvd, Suite 825, Los Angeles, CA 90025-1708 | 2012-10-15 |
| 1174899686 | Advanced Interventional Pain Center La | Pain Medicine | 11645 Wilshire Blvd, Suite 852, Los Angeles, CA 90025-6808 | 2012-03-29 |
| 1912211426 | Manuel Anthony Bustamante | Dentist | 11645 Wilshire Blvd, Suite 1160, Los Angeles, CA 90025-6811 | 2010-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972982114 | Cmmp Clinica De Ojos | Clinic/Center | 2007 Wilshire Blvd, Suite 522, Los Angeles, CA 90057-3506 | 2015-05-20 |
| 1780901520 | Westwood Eye Surgical Institute, Inc. | Clinic/Center | 10884 Santa Monica Blvd, Second Floor, Los Angeles, CA 90025-4646 | 2010-05-03 |
| 1780848473 | Carl J. Gordon, M.d. Inc. | Clinic/Center | 6360 Wilshire Blvd, Suite 409, Los Angeles, CA 90048-5603 | 2008-07-11 |
| 1033309406 | Wilshire Center for Ambulatory Surgery, Inc. | Clinic/Center | 1127 Wilshire Blvd, Suite 1515, Los Angeles, CA 90017-3901 | 2007-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306478672 | Lancaster Surgery Center LLC | Clinic/Center | 1741 W Avenue J, Lancaster, CA 93534-2703 | 2020-02-05 |
| 1588203988 | High Desert Eye Medical Group, Inc | Clinic/Center | 16030 Kamana Road, Apple Valley, CA 92307-9230 | 2020-01-02 |
| 1194243394 | Jon L Siems Md Inc | Clinic/Center | 31515 Rancho Pueblo Rd Ste 103, Temecula, CA 92592-4837 | 2017-09-07 |
| 1568918449 | The Cataract Vision Institute LLC | Clinic/Center | 3998 Inland Empire Blvd, Ontario, CA 91764-5032 | 2016-08-30 |
| 1417345885 | The Lasik Vision Institute | Clinic/Center | 7088 N Maple Ave, Suite 105, Fresno, CA 93720-0101 | 2015-01-07 |
| 1437565298 | Dr. Barbara S. Yates, Inc. | Clinic/Center | 4804 Laurel Canyon Blvd # 1200, Valley Village, CA 91607-3717 | 2014-07-01 |
| 1770865735 | Vision Institute of Southern California A Professional Medical Corpora | Clinic/Center | 18725 Gale Ave Ste 140, City of Industry, CA 91748-1358 | 2011-09-15 |
| 1548583255 | Gold Coast Vision LLC | Clinic/Center | 461 W 5th St, Oxnard, CA 93030-7049 | 2010-03-09 |
| 1942523139 | Advanced Laser Center | Clinic/Center | 350 S Winchester Blvd, Suite 250, San Jose, CA 95128-2092 | 2010-03-02 |
| 1447485156 | Humboldt Physicians Surgery and Laser Center LLC | Clinic/Center | 3226 Timber Fall Court, Eureka, CA 95503-4888 | 2009-05-26 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
Please comment or provide details below to improve the information on BRENTWOOD AMBULATORY SURGICAL MEDICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.