Active NPI
O'Connor Building Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- San Jose, CA
National Provider Identifier
1023370251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- O'CONNOR BUILDING SURGERY CENTER LLC
- Practice address
- 125 Ciro Ave
Suite 110
San Jose, CA 95128-1671 - Phone
- (408) 761-5847
- Fax
- (408) 988-0112
- NPI assigned
- Jun 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Barbara Lee Roth, RN
- Title
- Regional Director
- Phone
- (408) 761-5847
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
125 Ciro Ave
Suite 110
San Jose, CA 95128-1671
Mailing address
125 Ciro Ave
Suite 110
San Jose, CA 95128-1671
Phone (408) 761-5847
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Ambulatory surgical center certification: CCN 05C0001998
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- O'CONNOR BUILDING SURGERY CENTER LLC
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Nov 16, 2012
- Last certification
- Jul 17, 2018
- Ownership / control type
- Proprietary
- Facility address
- 125 Ciro Avenue, Suite 110
San Jose, CA 95128
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339545600000",
"number": "1023370251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 CIRO AVE",
"address_2": "SUITE 110",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281671",
"telephone_number": "408-761-5847",
"fax_number": "408-988-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 CIRO AVE",
"address_2": "SUITE 110",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281671",
"telephone_number": "408-761-5847",
"fax_number": "408-988-0112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "O'CONNOR BUILDING SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-13",
"last_updated": "2012-06-13",
"status": "A",
"authorized_official_last_name": "ROTH",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "REGIONAL DIRECTOR",
"authorized_official_telephone_number": "408-761-5847",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.