ROXBURY INSTITUTE SURGICAL CENTER
NPI 1043677578
Clinic/Center - Ambulatory Surgical in Beverly Hills, CA

Active since January 28, 2016CLIA 05D2107625 · Waiver
450 N ROXBURY DR # 410, BEVERLY HILLS, CA 90210(424) 394-1610(424) 394-1628 Get Directions Write a Review

NPPES record last updated: January 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roxbury Institute Surgical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROXBURY INSTITUTE SURGICAL CENTER (NPI 1043677578) is a healthcare organization registered as an ambulatory surgical in Beverly Hills, California and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through July 15, 2028 and lists David Amron, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1043677578
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameROXBURY INSTITUTE SURGICAL CENTER
Location Address450 N ROXBURY DR # 410Beverly Hills, CA 90210-4231
Mailing Address450 N Roxbury Dr # 410Beverly Hills, CA 90210-4231 · (424) 394-1610 · Fax (424) 394-1628
Fax(424) 394-1628
Organization SubpartNo
Authorized OfficialDavid AmronMedical Director · (424) 394-1610
Enumeration DateJanuary 28, 2016
NPI 1043677578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
450 N ROXBURY DR # 410, Beverly Hills, CA 90210

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2107625

Roxbury Institute Surgical Center, LLC · Beverly Hills, CA
Active · expires Jul 15, 2028
CLIA Number05D2107625
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 16, 2026
Certificate Expiration DateJuly 15, 2028
Laboratory DirectorDavid Amron
Laboratory Phone(424) 394-1610
Laboratory LocationRoxbury Institute Surgical Center, LLC8907 Wilshire Blvd Ste 120, Beverly Hills, CA 90211
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roxbury Institute Surgical Center's NPI number?

The NPI number for Roxbury Institute Surgical Center is 1043677578. It was assigned to this organization in the NPPES registry on January 28, 2016.

Where is Roxbury Institute Surgical Center located?

Roxbury Institute Surgical Center is located at 450 N Roxbury Dr # 410, Beverly Hills, CA 90210. The listed phone number is (424) 394-1610.

What is Roxbury Institute Surgical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Roxbury Institute Surgical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2107625) is associated with this NPI, valid through July 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Roxbury Institute Surgical Center was last updated on January 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.