BEVERLY CENTURY SURGICAL CENTER
NPI 1255913661
Clinic/Center - Ambulatory Surgical in Los Angeles, CA

Active since April 25, 2021CLIA 05D2214185 · Waiver
2080 CENTURY PARK E STE 509, LOS ANGELES, CA 90067(310) 694-4486(310) 363-7617 Get Directions Write a Review

NPPES record last updated: April 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Beverly Century Surgical Center NPPES

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

BEVERLY CENTURY SURGICAL CENTER (NPI 1255913661) is a healthcare organization registered as an ambulatory surgical in Los Angeles, California and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through February 18, 2027 and lists Babak Moeinolmolki, President, as its authorized official.

NPPES Registry Identity

NPI1255913661
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBEVERLY CENTURY SURGICAL CENTER
Location Address2080 CENTURY PARK E STE 509Los Angeles, CA 90067-2008
Mailing Address2080 Century Park E Ste 501Los Angeles, CA 90067-2008 · (310) 694-4486 · Fax (310) 363-7617
Fax(310) 363-7617
Organization SubpartNo
Authorized OfficialBabak MoeinolmolkiPresident · (443) 831-2561
Enumeration DateApril 25, 2021
NPPES CertifiedApril 25, 2021
NPI 1255913661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2080 CENTURY PARK E STE 509, Los Angeles, CA 90067

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 05D2214185

Beverly Century Surgical Center · Los Angeles, CA
Active · expires Feb 18, 2027
CLIA Number05D2214185
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorBabak Moeinolmolki
Laboratory Phone(310) 694-4486
Laboratory LocationBeverly Century Surgical Center2080 Century Park E Ste 509, Los Angeles, CA 90067
CLIA data matches this NPI record on: Address 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 Beverly Century Surgical Center's NPI number?

The NPI number for Beverly Century Surgical Center is 1255913661. It was assigned to this organization in the NPPES registry on April 25, 2021.

Where is Beverly Century Surgical Center located?

Beverly Century Surgical Center is located at 2080 Century Park E Ste 509, Los Angeles, CA 90067. The listed phone number is (310) 694-4486.

What is Beverly Century Surgical Center's specialty?

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

Does Beverly Century Surgical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2214185) is associated with this NPI, valid through February 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Beverly Century Surgical Center was last updated on April 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.