AST SURGERY CENTER, LLC (NPI# 1932641420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932641420 |
| Entity Type | Organization |
| Organization Name | AST SURGERY CENTER, LLC |
| Practice Address |
120 S Spalding Dr Ste 200 Beverly Hills CA 90212-1840 |
| Mailing Address |
9675 Brighton Way Ste B1 Beverly Hills CA 90210-5144 |
| Practice Telephone | 3108578528 |
| Mailing Telephone | 3108016741 |
| Mailing Fax Number | 3102278221 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | DR. NEIL GHODADRA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3108016741 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
A116163 | CA | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9675 Brighton Way Ste B1, Beverly Hills, CA 902105144 | 3108016741 | 3102278221 |
| Street Address |
120 S SPALDING DR STE 200 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-1840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023578960 | Excel Surgical Center, LLC | Clinic/Center | 120 S Spalding Dr Ste 200, Beverly Hills, CA 90212-1840 | 2019-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492040 | Bh Outpatient Surgical Center | Clinic/Center | 50 N La Cienega Blvd Ste 110, Beverly Hills, CA 90211-2339 | 2020-06-22 |
| 1003437336 | Beverly Hills Endosurgical Center LLC | Clinic/Center | 150 N Robertson Blvd Ste 110, Beverly Hills, CA 90211-2118 | 2020-04-28 |
| 1699308361 | Wilshire Surgery Center, Inc. | Clinic/Center | 8654 Wilshire Blvd, Beverly Hills, CA 90211-2910 | 2020-02-20 |
| 1104469105 | Tlc Surgical Center | Clinic/Center | 240 S La Cienega Blvd # 210, Beverly Hills, CA 90211-3324 | 2019-10-22 |
| 1871147793 | Melnic & Associates Inc | Clinic/Center | 325 N Maple Dr Ste 17773, Beverly Hills, CA 90210-3428 | 2019-07-29 |
| 1649831348 | Optimum Surgical Inc. | Clinic/Center | 9090 Wilshire Blvd Suite 100, Beverly Hills, CA 90211 | 2019-06-24 |
| 1407416597 | Beverly Hills Surgical Institute | Clinic/Center | 9025 Wilshire Blvd Ste 201, Beverly Hills, CA 90211-1825 | 2019-06-19 |
| 1285292748 | The Center for Surgery At Bedford LLC | Clinic/Center | 436 N Bedford Dr Ste 101, Beverly Hills, CA 90210-4323 | 2019-05-30 |
| 1538722699 | R & R Surgical Centers | Clinic/Center | 8500 Wilshire Blvd Ste 105, Beverly Hills, CA 90211-3110 | 2019-04-15 |
| 1295292225 | Beverly Hills Outpatient Surgery and Sports Medicine, LLC | Clinic/Center | 120 S Spalding Dr Ste 205, Beverly Hills, CA 90212-1840 | 2019-02-26 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
Please comment or provide details below to improve the information on AST SURGERY CENTER, LLC.
| 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.