ROXBURY CLINIC AND SURGERY CENTER INC NPI 1003001967

Clinic/Center (Ambulatory Surgical) in Beverly Hills, CA

Organization Clinic/Center Ambulatory Surgical CLIA Number 05D1060890 CLIA Certificate of Waiver

About ROXBURY CLINIC AND SURGERY CENTER INC

Roxbury Clinic And Surgery Center Inc is a provider established in Beverly Hills, California specializing in clinic/center (ambulatory surgical) . The NPI number of Roxbury Clinic And Surgery Center Inc is 1003001967 and was assigned on September 2007. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mrs. Chona Moore R.n. (Director Of Nursing)

The CLIA number of Roxbury Clinic And Surgery Center Inc is 05D1060890 registered as a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Roxbury Clinic And Surgery Center Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1003001967

Provider NameROXBURY CLINIC AND SURGERY CENTER INC
Provider Location Address465 N ROXBURY DR SUITE 1001 BEVERLY HILLS, CA 90210
Provider Mailing Address465 N ROXBURY DR SUITE 1001 BEVERLY HILLS, CA 90210
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-12-2007
Last Update Date06-09-2009

Primary Taxonomy

Taxonomy Code261QA1903X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationAmbulatory Surgical

Business Address

ROXBURY CLINIC AND SURGERY CENTER INC
465 N ROXBURY DR
SUITE 1001
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 248-6250
Fax: (310) 248-6258

Get Directions

Mailing Address

ROXBURY CLINIC AND SURGERY CENTER INC
465 N ROXBURY DR
SUITE 1001
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 248-6250
Fax: (310) 248-6258

Authorized Official

Authorized Official NameMRS. CHONA MOORE R.N.
Authorized Official TitleDIRECTOR OF NURSING
Authorized Official Phone(310) 248-6250

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003001967 is:

CLIA Number05D1060890
Facility TypeAMBULATORY SURGERY CENTER
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
S051658MEDICARE PIN (08)CA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023039682BEVERLY HILLS ENDOSCOPY LLC
Organization
Clinic/Center (Ambulatory Surgical)465 N ROXBURY DR SUITE PH
BEVERLY HILLS, CA 90210
(310) 888-8898
1104062272JIMMY S. FIROUZ M.D. INC
Organization
Plastic Surgery465 N ROXBURY DR 800
BEVERLY HILLS, CA 90210
(310) 867-3227
1144274713BEVERLY RADIOLOGY MEDICAL GROUP
Organization
Radiology (Diagnostic Radiology)465 N ROXBURY DR
BEVERLY HILLS, CA 90210
(310) 975-1500
1275587842TOWER PET IMAGING CENTER, A MEDICAL GROUP
Organization
Radiology (Diagnostic Radiology)465 N ROXBURY DR
BEVERLY HILLS, CA 90210
(310) 975-1500
1295737070ROXSAN PHARMACY, INC
Organization
Pharmacy465 N ROXBURY DR
BEVERLY HILLS, CA 90210
(310) 273-1644
1316027279SORAYA A ROSS MD
Organization
Exclusive Provider Organization465 N ROXBURY DR #1020
BEVERLY HILLS, CA 90210
(310) 888-1234
1417118464 RITU CHOPRA MD
Individual
Surgery (Plastic and Reconstructive Surgery)465 N ROXBURY DR 1001
BEVERLY HILLS, CA 90210
(310) 777-8800
1538143185DR. DANIELA PAVLIN DDS
Individual
Dentist465 N ROXBURY DR SUITE 911
BEVERLY HILLS, CA 90210
(310) 278-8322
1558450700 DANIEL ALCAHE LAHANA MD
Individual
Internal Medicine (Gastroenterology)465 N ROXBURY DR #1007
BEVERLY HILLS, CA 90210
(310) 271-5722
1639265481DR. RODNEY STEPHEN BARRON M.D.
Individual
Urology465 N ROXBURY DR 1012
BEVERLY HILLS, CA 90210
(310) 657-5888
1649209628DR. SORAYA ANNE ROSS M.D.
Individual
Internal Medicine (Gastroenterology)465 N ROXBURY DR SUITE 1002
BEVERLY HILLS, CA 90210
(310) 888-1234
1659554020KAMBIZ PARSA, M.D. INC
Organization
Ophthalmology465 N ROXBURY DR SUITE 1001
BEVERLY HILLS, CA 90210
(310) 777-8800
1700909108 ORLA STEWART PA
Individual
Physician Assistant (Surgical)465 N ROXBURY DR STE 1001
BEVERLY HILLS, CA 90210
(310) 777-8800
1780696831 SARAH ELLEN MIRKIN R.D.
Individual
Dietitian, Registered465 N ROXBURY DR STE # 750
BEVERLY HILLS, CA 90210
(310) 739-9901
1811127608SURGIWOLRD INC
Organization
Clinic/Center (Ambulatory Surgical)465 N ROXBURY DR 1012
BEVERLY HILLS, CA 90210
(310) 385-0590
1881675379MRS. SHAHLA KEYVANFAR MELAMED PHARM.D.
Individual
Pharmacist465 N ROXBURY DR
BEVERLY HILLS, CA 90210
(310) 273-1644
1881747012DR. FANNY YACAMAN DDS
Individual
Dentist (Endodontics)465 N ROXBURY DR SUITE 703
BEVERLY HILLS, CA 90210
(310) 248-2336
1962504001DR. MARTYN STEVEN GREEN D.D.S.
Individual
Dentist (Periodontics)465 N ROXBURY DR SUITE 911
BEVERLY HILLS, CA 90210
(310) 246-0024
1962643528LAWRENCE M. KOPLIN, MD A PROFESSIONAL CORPORATION
Organization
Clinic/Center (Ambulatory Surgical)465 N ROXBURY DR STE. 802
BEVERLY HILLS, CA 90210
(310) 277-3223
1982757100DR. FRANK MARIO ANTONIO VIDJAK DDS
Individual
Dentist (Prosthodontics)465 N ROXBURY DR SUITE # 703
BEVERLY HILLS, CA 90210
(310) 248-2786

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.