CANON SURGERY CENTER (NPI# 1073999033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073999033 |
| Entity Type | Organization |
| Organization Name | CANON SURGERY CENTER |
| Practice Address |
9400 Brighton Way Suite 405 Beverly Hills CA 90210-4714 |
| Practice Telephone | 3102764494 |
| Practice Fax Number | 3102768988 |
| Mailing Telephone | 3102764494 |
| Mailing Fax Number | 3102768988 |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |
| Authorized Official Name | DR. ANDRE BERGER (MANAGING MEMBER) |
| Authorized Official Telephone | 3102764494 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
9400 BRIGHTON WAY SUITE 405 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90210-4714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689635328 | Michael T Duffy | Specialist | 9400 Brighton Way, Suite 201, Beverly Hills, CA 90210-4714 | 2006-03-31 |
| 1114458346 | Magma Care | Pharmacy | 9400 Brighton Way, Beverly Hills, CA 90210-4714 | 2017-03-21 |
| 1821456229 | Sharon Winer | Obstetrics & Gynecology | 9400 Brighton Way, Suite #206, Beverly Hills, CA 90210-4714 | 2016-02-01 |
| 1952773244 | Jessica Combs | Internal Medicine | 9400 Brighton Way, Ph, Beverly Hills, CA 90210-4714 | 2015-10-26 |
| 1477958122 | Michael T Duffy Md Inc A Professional Corporation | Internal Medicine | 9400 Brighton Way, Suite 300, Beverly Hills, CA 90210-0001 | 2014-10-23 |
| 1073916193 | Beverly Hills Concierge Doctor, Inc | Internal Medicine | 9400 Brighton Way, #410, Beverly Hills, CA 90210-4714 | 2014-10-03 |
| 1083034540 | Maurice Simanian | Dentist | 9400 Brighton Way, #210, Beverly Hills, CA 90210-4714 | 2014-04-23 |
| 1891118345 | Edwin Yadidi | Pharmacist | 9400 Brighton Way, Beverly Hills, CA 90210-4714 | 2014-02-03 |
| 1730502196 | Marian Mihail | Specialist | 9400 Brighton Way, Suite 301, Beverly Hills, CA 90210-4714 | 2014-01-21 |
| 1508293473 | Eric A Lewis A Medical Corporation | Dermatology | 9400 Brighton Way, Suite 201, Beverly Hills, CA 90210-4714 | 2013-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643786 | Diane Garcia | Social Worker | 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 | 2020-09-11 |
| 1043834765 | Sheryl Kipper Weissberg | Marriage & Family Therapist | 9171 Wilshire Boulevard, Penthouse, Beverly Hills, CA 90210 | 2020-05-29 |
| 1093373912 | Jill Daloria | Speech-Language Pathologist | 201 N Crescent Drive, Beverly Hills, CA 90210 | 2019-06-05 |
| 1902363203 | Barry J Brock Md Inc. | Obstetrics & Gynecology | 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 | 2019-02-23 |
| 1861983884 | Beverly Hills Hair Free Corp | Contractor | 9301 Wilshire Blvd #310, Beverly Hills, CA 90210 | 2018-05-24 |
| 1245745389 | Richard L Gilbert | Marriage & Family Therapist | 301 North Bedford Drive Suite 401, Beverly Hills, CA 90210 | 2017-12-12 |
| 1588180970 | Richard Paul Braun IIi | Chiropractor | 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 | 2017-08-17 |
| 1538683677 | Bh Therapy Corp. | Psychologist | 9107 Wilshire Blvd Suite 200, Beverly Hills, CA 90210 | 2017-07-31 |
| 1114374394 | Marvin Berkowitz | Family Medicine | 614 N Roxbury Dr., Beverly Hills, CA 90210 | 2016-05-18 |
| 1104287077 | Eva Silegy | Nurse Anesthetist, Certified Registered | 465 N. Roxbury Drive, Beverly Hills, CA 90210 | 2016-03-18 |
| Find all providers in zip 90210 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492040 | Bh Outpatient Surgical Center | Clinic/Center | 50 N La Cienega Blvd Ste 110, Beverly Hills, CA 90211-2339 | 2020-06-22 |
| 1003437336 | Beverly Hills Endosurgical Center LLC | Clinic/Center | 150 N Robertson Blvd Ste 110, Beverly Hills, CA 90211-2118 | 2020-04-28 |
| 1699308361 | Wilshire Surgery Center, Inc. | Clinic/Center | 8654 Wilshire Blvd, Beverly Hills, CA 90211-2910 | 2020-02-20 |
| 1104469105 | Tlc Surgical Center | Clinic/Center | 240 S La Cienega Blvd # 210, Beverly Hills, CA 90211-3324 | 2019-10-22 |
| 1871147793 | Melnic & Associates Inc | Clinic/Center | 325 N Maple Dr Ste 17773, Beverly Hills, CA 90210-3428 | 2019-07-29 |
| 1649831348 | Optimum Surgical Inc. | Clinic/Center | 9090 Wilshire Blvd Suite 100, Beverly Hills, CA 90211 | 2019-06-24 |
| 1407416597 | Beverly Hills Surgical Institute | Clinic/Center | 9025 Wilshire Blvd Ste 201, Beverly Hills, CA 90211-1825 | 2019-06-19 |
| 1285292748 | The Center for Surgery At Bedford LLC | Clinic/Center | 436 N Bedford Dr Ste 101, Beverly Hills, CA 90210-4323 | 2019-05-30 |
| 1538722699 | R & R Surgical Centers | Clinic/Center | 8500 Wilshire Blvd Ste 105, Beverly Hills, CA 90211-3110 | 2019-04-15 |
| 1295292225 | Beverly Hills Outpatient Surgery and Sports Medicine, LLC | Clinic/Center | 120 S Spalding Dr Ste 205, Beverly Hills, CA 90212-1840 | 2019-02-26 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90210 |
Please comment or provide details below to improve the information on CANON SURGERY CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.