THIRD STREET SURGERY CENTER LLC NPI 1144370594

NPI Information

  • NPI: 1144370594
  • Provider Name: THIRD STREET SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Former Legal Business Name: THIRD STREET SURGERY CENTER LP
  • CLIA Number: 05D0907402
  • Address: 420 E 3RD ST STE 110
    LOS ANGELES, CA
    ZIP 90013
  • Phone: (213) 617-9194

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NPI Details

THIRD STREET SURGERY CENTER LLC is an ambulatory surgical clinic center in Los Angeles, CA. THIRD STREET SURGERY CENTER LLC NPI is 1144370594. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Third Street Surgery Center Lp.

The provider's business location address is:

420 E 3RD ST STE 110
LOS ANGELES, CA
ZIP 90013-645
Phone: (213) 617-9194

The provider's authorized official is Alex Liu .
The authorized official title is Vice President/medical Director and has the following contact phone number (213) 617-9194.

The CLIA number assigned to this NPI record is 05D0907402 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)

The enumeration date for this NPI number is 1/10/2007 and was last updated on 11/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalNo
2261QA1903XClinic/CenterAmbulatory Surgical930001001CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1SUR01330GMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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