RAYMOND RENAISSANCE SURGERY CENTER LLC NPI 1871939082

NPI Information

  • NPI: 1871939082
  • Provider Name: RAYMOND RENAISSANCE SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D2079922
  • Address: 125 N RAYMOND AVE SUITE 212
    PASADENA, CA
    ZIP 91105
  • Phone: (626) 529-3937

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NPI Details

RAYMOND RENAISSANCE SURGERY CENTER LLC is an ambulatory surgical clinic center in Pasadena, CA. RAYMOND RENAISSANCE SURGERY CENTER LLC NPI is 1871939082. The provider is registered as an organization entity type.

The provider's business location address is:

125 N RAYMOND AVE SUITE 212
PASADENA, CA
ZIP 91105-535
Phone: (626) 529-3937
Fax: (626) 529-3844

The provider's authorized official is Khaled Tawansy .
The authorized official title is Owner and has the following contact phone number (323) 257-3300.

The CLIA number assigned to this NPI record is 05D2079922 - 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)
  • Removal of membrane of retina (HCPCS:67041)
  • Injection, aflibercept, 1 mg (HCPCS:J0178)
  • Complex repair of detached retina and drainage of eye fluid between lens and retina (HCPCS:67113)

The enumeration date for this NPI number is 5/14/2013 and was last updated on 7/21/2022.

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:

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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