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NPI · 1114589793 · NPPES-sourced

Premier Surgical Pavilion Of La

ActiveAmbulatory Surgical Clinic/Center
NPI Number
1114589793
Type 2 · Organisation
Taxonomy Code
261QA1903X
Contact
(212) 223-0716
Primary practice line
Last Updated
Enumerated
Primary practice addressCA · 90049-5103
11661 San Vicente BlvdLos Angeles, CA 90049-5103
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About this NPIWhat this record shows.

NPI 1114589793 is registered to Premier Surgical Pavilion Of La, a healthcare organisation classified as "Ambulatory Surgical Clinic/Center" and located at 11661 San Vicente Blvd in Los Angeles, California. The organisation's authorised official is Michael Jones. The organisation has been enumerated in the NPI registry since 2019.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • C53266CA· Issued by MEDICAL LICENSE

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Premier Surgical Pavilion Of La accepts. To confirm in-network status with your specific health plan, contact Premier Surgical Pavilion Of La directly at (212) 223-0716.

Frequently asked

Yes. NPI 1114589793 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Ambulatory Surgical Clinic/Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (212) 223-0716.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Premier Surgical Pavilion Of La is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QA1903X
Last updated
Enumerated
StatusActive
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