CONGRESS MEDICAL SURGERY CENTER LLC – NPI #1104087089
Clinic/Center

CONGRESS MEDICAL SURGERY CENTER LLC is an AHC clinic located in PASADENA, CA. NPPES has assigned the NPI number 1104087089 to CONGRESS MEDICAL SURGERY CENTER LLC on June 23, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 16 years ago on Oct 20, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CONGRESS MEDICAL SURGERY CENTER LLC below.

NPI Profile for
CONGRESS MEDICAL SURGERY CENTER LLC

NPI Number
1104087089
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CONGRESS MEDICAL SURGERY CENTER LLC
Primary location
800 S RAYMOND AVE
PASADENA, CA 91105
Phone: (626) 795-8051 Fax: (626) 795-0356
Mailing address
PO BOX 90730
PASADENA, CA 91109-0730
Phone: (626) 795-8051 Fax: (626) 795-7374
Organization Subpart
No
Authorized Official
MICHAEL FRAIPONT
MEDICAL DIRECTOR
Phone: (626) 795-8051
Updated
Identifiers

Identifiers for CONGRESS MEDICAL SURGERY CENTER LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE SHIELDCAZZZH1905D
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
CA G81716

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.