NPIMap

Organization Active NPI

Carlsbad Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Carlsbad, CA
National Provider Identifier
1003017351
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CARLSBAD SURGERY CENTER, LLC
Practice address
6121 Paseo del Norte
Suite 100
Carlsbad, CA 92011-1159
Phone
(760) 448-2488
Fax
(760) 448-2478
NPI assigned
May 31, 2007
Last updated
Jul 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Scott Harold Leggett
Title
Ceo/Managing Partner
Phone
(760) 602-7872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

6121 Paseo del Norte
Suite 100
Carlsbad, CA 92011-1159

Mailing address

6121 Paseo del Norte
Suite 100
Carlsbad, CA 92011-1159
Phone (760) 448-2488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040524001507 CA Part B Supplier - Clinic/Group Practice 0143201442 Receives reassigned benefits from 28 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Encinitas, CA; San Diego, CA; Oceanside, CA; Escondido, CA; Carlsbad, CA
O20090129000420 CA Part B Supplier - Ambulatory Surgical Center 2961566336 Practice locations: Carlsbad, CA

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Carlsbad Surgery Center LLCCCN 05C0001873
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1003017351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 PASEO DEL NORTE",
            "address_2": "SUITE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111159",
            "telephone_number": "760-448-2488",
            "fax_number": "760-448-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 PASEO DEL NORTE",
            "address_2": "SUITE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111159",
            "telephone_number": "760-448-2488",
            "fax_number": "760-448-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSBAD SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "LEGGETT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "CEO/MANAGING PARTNER",
        "authorized_official_telephone_number": "760-602-7872",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.