Organization Active NPI

Endoscopy Surgery Center of Silicon Valley LLC

  • Ambulatory Surgical Clinic/Center
  • San Jose, CA
National Provider Identifier
1033448782
Registry record updated Jul 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ENDOSCOPY SURGERY CENTER OF SILICON VALLEY LLC
Practice address
2410 Samaritan Dr
Suite 101
San Jose, CA 95124-3909
Phone
(615) 345-6879
Fax
(615) 345-6879
NPI assigned
Dec 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2017

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

Authorized official

Name
Mr. Chad Stevens
Title
President, Board of Managers
Phone
(615) 345-6868

Specialties & licenses 1

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

Addresses

Primary practice location

2410 Samaritan Dr
Suite 101
San Jose, CA 95124-3909

Mailing address

401 Commerce St
Suite 600
Nashville, TN 37219-2446
Phone (615) 345-6900

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499644800000",
    "number": "1033448782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE ST",
            "address_2": "SUITE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192446",
            "telephone_number": "615-345-6900",
            "fax_number": "615-691-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SAMARITAN DR",
            "address_2": "SUITE 101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243909",
            "telephone_number": "615-345-6879",
            "fax_number": "615-345-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPY SURGERY CENTER OF SILICON VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2017-07-10",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT, BOARD OF MANAGERS",
        "authorized_official_telephone_number": "615-345-6868",
        "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 San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.