ELITE SURGERY CENTER OF SOUTH BAY LLC
NPI 1205448750
Clinic/Center - Ambulatory Surgical in Torrance, CA

Active since August 17, 2020CLIA 05D2205732 · Waiver
20528 HAWTHORNE BLVD STE 301, TORRANCE, CA 90503(424) 247-9090 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 16, 2020, Aug 17, 2020 (2 updates tracked since 2020).

About Elite Surgery Center Of South Bay Llc NPPES

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

ELITE SURGERY CENTER OF SOUTH BAY LLC (NPI 1205448750) is a healthcare organization registered as an ambulatory surgical in Torrance, California and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through December 14, 2026 and lists Mehran Taban, Chairman, Governing Body, as its authorized official.

NPPES Registry Identity

NPI1205448750
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameELITE SURGERY CENTER OF SOUTH BAY LLC
Location Address20528 HAWTHORNE BLVD STE 301Torrance, CA 90503-3202
Mailing Address20528 Hawthorne Blvd Ste 301Torrance, CA 90503-3202
Organization SubpartNo
Authorized OfficialMehran TabanChairman, Governing Body · (424) 247-9090
Enumeration DateAugust 17, 2020
Last NPPES UpdateOctober 16, 20202 updates tracked since enumeration
NPPES CertifiedOctober 16, 2020
NPI 1205448750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
20528 HAWTHORNE BLVD STE 301, Torrance, CA 90503

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 05D2205732

Elite Surgery Center Of South Bay · Torrance, CA
Active · expires Dec 14, 2026
CLIA Number05D2205732
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 15, 2024
Certificate Expiration DateDecember 14, 2026
Laboratory DirectorDr. Mehran Taban
Laboratory Phone(424) 344-5890
Laboratory LocationElite Surgery Center Of South Bay20528 Hawthorne Blvd Suite 301, Torrance, CA 90503
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of growth of retina using a laser 67210
This procedure involves using a precise laser to target and remove abnormal growths on the retina, the thin layer at the back of the eye. It's a safe and effective way to protect your vision and prevent further eye damage.
276 services156 patients
Destruction of leaking blood vessels of retina using laser 67228
This procedure involves using a laser to treat leaking blood vessels in the retina, the part of the eye responsible for vision. The laser seals off these vessels, preventing further leakage and helping to preserve sight.
165 services92 patients
Removal of recurring cataract in lens capsule by stab incision 66820
This procedure involves making a small incision in the eye to remove a recurring cataract in the lens capsule. It's a targeted approach to improve vision by eliminating the cloudy area that obstructs light from reaching the retina.
72 services65 patients
Repair of detached retina using a laser 67105
A laser repair for a detached retina is a non-invasive procedure. A laser beam is used to create small burns around the detached area, promoting scarring. This scarring helps reattach the retina to the back of the eye, restoring vision.
35 services28 patients
Repair of detached retina with drainage and removal of eye fluid between lens and retina 67108
This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.
34 services34 patients
Removal of margin of iris to improve eye fluid flow 66625
This procedure, known as an iridectomy, involves removing a small portion of the iris, the colored part of your eye. This helps enhance the flow of fluid within the eye. It's often performed to treat or prevent glaucoma, a condition that can increase pressure in the eye.
31 services29 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
20528 HAWTHORNE BLVD STE 301
TORRANCE, CA 90503

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 Elite Surgery Center Of South Bay LLC's NPI number?

The NPI number for Elite Surgery Center Of South Bay LLC is 1205448750. It was assigned to this organization in the NPPES registry on August 17, 2020.

Where is Elite Surgery Center Of South Bay LLC located?

Elite Surgery Center Of South Bay LLC is located at 20528 Hawthorne Blvd Ste 301, Torrance, CA 90503. The listed phone number is (424) 247-9090.

What is Elite Surgery Center Of South Bay LLC's specialty?

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

Does Elite Surgery Center Of South Bay LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2205732) is associated with this NPI, valid through December 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elite Surgery Center Of South Bay LLC was last updated on October 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.