Premier Surgical Pavilion of La
NPI 1114589793 · Ambulatory Surgical Clinic/Center · Los Angeles, CA
Premier Surgical Pavilion of La is a Ambulatory Surgical Clinic/Center organization in Los Angeles, CA (NPI 1114589793).
Provider details
- NPI number
- 1114589793
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Jones, Medical Director(212) 223-0716
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-07-03
- Last updated
- 2019-07-03
Frequently asked questions
- What is Premier Surgical Pavilion of La's NPI number?
- Premier Surgical Pavilion of La's National Provider Identifier (NPI) is 1114589793, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Surgical Pavilion of La?
- Premier Surgical Pavilion of La is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Premier Surgical Pavilion of La located?
- Premier Surgical Pavilion of La's practice location on file with NPPES is 11661 San Vicente Blvd, Los Angeles, CA 90049-5103.
- What is Premier Surgical Pavilion of La's phone number?
- The practice phone number listed in the NPPES registry for Premier Surgical Pavilion of La is (212) 223-0716.
- Who is the authorized official for Premier Surgical Pavilion of La?
- The authorized official listed on Premier Surgical Pavilion of La's NPPES record is Michael Jones, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Surgical Pavilion of La's NPI active?
- Yes — Premier Surgical Pavilion of La's NPI (1114589793) is active in the NPPES registry as of the last update on 2019-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.