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LONG BEACH SURGICARE LLC
NPI 1356101430
Clinic/Center - Ambulatory Surgical in Long Beach, CA

Active since March 19, 2024CLIA 05D2303422 · Waiver
4401 ATLANTIC AVE STE 101, LONG BEACH, CA 90807(562) 573-4545(562) 253-0330 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 6, 2025, May 15, 2024 (2 updates tracked since 2024).

About Long Beach Surgicare Llc NPPES

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

LONG BEACH SURGICARE LLC (NPI 1356101430) is a healthcare organization registered as an ambulatory surgical in Long Beach, California and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through April 23, 2028 and lists Pedram Enayati, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1356101430
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLONG BEACH SURGICARE LLC
Location Address4401 ATLANTIC AVE STE 101Long Beach, CA 90807-2260
Mailing Address4401 Atlantic Ave Ste 101Long Beach, CA 90807-2260 · (562) 573-4545 · Fax (562) 253-0330
Phone(562) 573-4545
Fax(562) 253-0330
Organization SubpartNo
Authorized OfficialPedram EnayatiMedical Director · (310) 409-3611
Enumeration DateMarch 19, 2024
Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1356101430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4401 ATLANTIC AVE STE 101, Long Beach, CA 90807
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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 05D2303422

Long Beach Surgicare LLC · Long Beach, CA
Active · expires Apr 23, 2028
CLIA Number05D2303422
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 24, 2026
Certificate Expiration DateApril 23, 2028
Laboratory DirectorPedram Enayati
Laboratory Phone(424) 423-0703
Laboratory LocationLong Beach Surgicare LLC4401 Atlantic Ave, Ste 101, Long Beach, CA 90807
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. DONN MICHAEL HICKMAN M.D.
Specialist
4401 ATLANTIC AVE STE 101
LONG BEACH, CA 90807
Los Angeles County (562) 422-5902
CARE FIRST COMMUNITY MEDICAL INC
Obstetrics & Gynecology (Gynecology)
4401 ATLANTIC AVE STE 101
LONG BEACH, CA 90807
Los Angeles County (562) 422-5400
CENTER FOR SPECIALTY SURGERY LLC
Clinic/Center (Ambulatory Surgical)
4401 ATLANTIC AVE STE 101
LONG BEACH, CA 90807
Los Angeles County (562) 984-2038
CENTER OF SURGICAL EXCELLENCE LLC
Clinic/Center (Ambulatory Surgical)
4401 ATLANTIC AVE STE 101
LONG BEACH, CA 90807
Los Angeles County (562) 422-5400
JACQUELINE JIMENEZ
Nurse Practitioner (Family)
4401 ATLANTIC AVE STE 101
LONG BEACH, CA 90807
Los Angeles County (562) 349-0084

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 Long Beach Surgicare LLC's NPI number?

The NPI number for Long Beach Surgicare LLC is 1356101430. It was assigned to this organization in the NPPES registry on March 19, 2024.

Where is Long Beach Surgicare LLC located?

Long Beach Surgicare LLC is located at 4401 Atlantic Ave Ste 101, Long Beach, CA 90807. The listed phone number is (562) 573-4545.

What is Long Beach Surgicare LLC's specialty?

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

Does Long Beach Surgicare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2303422) is associated with this NPI, valid through April 23, 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 Long Beach Surgicare LLC was last updated on January 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.