KERLAN-JOBE SURGERY CENTER LLC NPI 1366408270

NPI Information

  • NPI: 1366408270
  • Provider Name: KERLAN-JOBE SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Former Legal Business Name: HEALTHSOUTH / KERLAN-JOBE SURGERY CENTER LLC
  • CLIA Number: 05D0935660
  • Address: 6801 PARK TER STE 300
    LOS ANGELES, CA
    ZIP 90045
  • Phone: (310) 665-7200

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NPI Details

KERLAN-JOBE SURGERY CENTER LLC is an ambulatory surgical clinic center in Los Angeles, CA. KERLAN-JOBE SURGERY CENTER LLC NPI is 1366408270. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Healthsouth / Kerlan-jobe Surgery Center Llc.

The provider's business location address is:

6801 PARK TER STE 300
LOS ANGELES, CA
ZIP 90045-212
Phone: (310) 665-7200

The provider's authorized official is Ralph Anthony Gambardella .
The authorized official title is Partner and has the following contact phone number (310) 792-3914.

The CLIA number assigned to this NPI record is 05D0935660 - 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.

  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
  • Anchoring of biceps tendon (HCPCS:23430)
  • Removal of connective tissue of palm and release of finger, first digit (HCPCS:26123)

The enumeration date for this NPI number is 4/21/2006 and was last updated on 11/9/2018.

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 SurgicalYes

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: 3/30/2025

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