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90210 SURGERY CENTER
NPI 1467747493
Clinic/Center - Ambulatory Surgical in Beverly Hills, CA

Active since June 17, 2011CLIA 05D2113818 · Waiver
436 N. BEDFORD DR., SUITE 200, BEVERLY HILLS, CA 90210(310) 777-0069 Get Directions Write a Review

NPPES record last updated: June 17, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About 90210 Surgery Center NPPES

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

90210 SURGERY CENTER (NPI 1467747493) is a healthcare organization registered as an ambulatory surgical in Beverly Hills, California and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through August 26, 2027 and lists Renato Calabria, Owner, as its authorized official.

NPPES Registry Identity

NPI1467747493
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business Name90210 SURGERY CENTER
Location Address436 N. BEDFORD DR., SUITE 200Beverly Hills, CA 90210
Mailing Address436 N Bedford Dr Ste 200Beverly Hills, CA 90210-4312 · (310) 777-0069 · Fax (310) 858-3150
Phone(310) 777-0069
Organization SubpartNo
Authorized OfficialRenato CalabriaOwner · (310) 777-0069
Enumeration DateJune 17, 2011
✔ NPI 1467747493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CA · A43041
436 N. BEDFORD DR., SUITE 200, Beverly Hills, CA 90210
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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 05D2113818

90210 Surgery Center · Beverly Hills, CA
Active · expires Aug 26, 2027
CLIA Number05D2113818
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorRenato Calabria, MD
Laboratory Phone(310) 777-0069
Laboratory Location90210 Surgery Center436 N Bedford Dr Ste 200, Beverly Hills, CA 90210
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 90210 Surgery Center's NPI number?

The NPI number for 90210 Surgery Center is 1467747493. It was assigned to this organization in the NPPES registry on June 17, 2011.

Where is 90210 Surgery Center located?

90210 Surgery Center is located at 436 N. Bedford Dr., Suite 200, Beverly Hills, CA 90210. The listed phone number is (310) 777-0069.

What is 90210 Surgery Center's specialty?

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

Does 90210 Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2113818) is associated with this NPI, valid through August 26, 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 90210 Surgery Center was last updated on June 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.