GUARDIAN SURGICAL INSTITUTE INC
NPI 1871010934
Clinic/Center - Ambulatory Surgical in Beverly Hills, CA

Active since August 29, 2017CLIA 05D2155236 · Waiver
436 N ROXBURY DR STE 101, BEVERLY HILLS, CA 90210(309) 838-1747 Get Directions Write a Review

NPPES record last updated: August 29, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2155236
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 09-24-2026

About GUARDIAN SURGICAL INSTITUTE INC

This page provides the complete NPI Profile along with additional information for Guardian Surgical Institute Inc, 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 1871010934 assigned on August 2017. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Benjamin Taimoorazy M.d. (Owner)

NPI
1871010934 Verify this NPI
Provider Name
GUARDIAN SURGICAL INSTITUTE INC
Entity Type
Organization
Location Address
436 N ROXBURY DR STE 101 BEVERLY HILLS, CA 90210
Location Phone
(309) 838-1747
Mailing Address
PO BOX 570 LAKE FOREST, IL 60045
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-29-2017
Last Update Date
08-29-2017
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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

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

BENJAMIN TAIMOORAZY M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(309) 838-1747

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
05D2155236
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
September 25, 2024
Certificate Expiration Date
September 24, 2026
Laboratory Director
BENJAMIN TAIMOORZY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Guardian Surgical Institute Inc 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 1871010934, enumerated as an "organization" on August 29, 2017.

The provider is located at 436 N ROXBURY DR STE 101 BEVERLY HILLS, CA 90210 and the phone number is (309) 838-1747.

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