ASI SURGERY CENTER INC. NPI 1215286083

NPI Details

ASI SURGERY CENTER, INC. is an ambulatory surgical clinic center in Sherman Oaks, CA. ASI SURGERY CENTER, INC. NPI is 1215286083. The provider is registered as an organization entity type.

The provider's business location address is:

4836 VAN NUYS BLVD
SHERMAN OAKS, CA
ZIP 91403-101
Phone: (818) 907-7546

The provider's authorized official is Ilya Reyter .
The authorized official title is President and has the following contact phone number (818) 907-7546.

The CLIA number assigned to this NPI record is 05D2155301 - 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.

• Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
• Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
• Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
• Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less (HCPCS:14040)
• Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
• Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)

The enumeration date for this NPI number is 9/7/2012 and was last updated on 8/3/2022.

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: