BRIGHTON MEDICAL CORPORATION
NPI 1053593756
Clinic/Center - Ambulatory Surgical in Beverly Hills, CA

Active since December 04, 2007
9400 BRIGHTON WAY SUITE 401, BEVERLY HILLS, CA 90210(310) 276-9071(310) 276-9074 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2076654
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-22-2026

About BRIGHTON MEDICAL CORPORATION

This page provides the complete NPI Profile along with additional information for Brighton Medical Corporation, a provider established in Beverly Hills, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1053593756 assigned on December 2007. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Shawn Nasseri M.d. (Ceo/president)

NPI
1053593756 Verify this NPI
Provider Name
BRIGHTON MEDICAL CORPORATION
Entity Type
Organization
Location Address
9400 BRIGHTON WAY SUITE 401 BEVERLY HILLS, CA 90210
Location Phone
(310) 276-9071
Location Fax
(310) 276-9074
Mailing Address
9663 SANTA MONICA BLVD SUITE 644 BEVERLY HILLS, CA 90210
Mailing Phone
(310) 276-9071
Mailing Fax
(310) 289-8205
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2007
Last Update Date
09-18-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SHAWN NASSERI M.D.

Authorized Official Title
CEO/PRESIDENT
Authorized Official Phone
(310) 729-3116

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 this NPI number is:

CLIA Number
05D2076654
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 23, 2024
Certificate Expiration Date
April 22, 2026
Laboratory Director
SHAWN NASSERI, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Brighton Medical Corporation 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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053593756, enumerated as an "organization" on December 04, 2007.

The provider is located at 9400 BRIGHTON WAY SUITE 401 BEVERLY HILLS, CA 90210 and the phone number is (310) 276-9071.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.