Forest Ambulatory Surgical Associates LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FOREST AMBULATORY SURGICAL ASSOCIATES LLC

Doing business as

Forest Surgery Center

Practice address

2110 Forest Ave FL 2
San Jose, CA 95128-1469

Phone

(408) 297-3432

Fax

(405) 298-3338

NPI assigned

Apr 20, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Boyd Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5954

Specialties & licenses 1

Addresses

Other names 1

• Forest Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Forest Ambulatory Surgical Associates LLC Dba Forest Abulatory Surgery CenterCCN 05C0001066

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sun-Yin Chan, M.D.

  • Specialist
  • San Jose, CA
  • NPI 1275636227
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1043275183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 FOREST AVE FL 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281469",
            "telephone_number": "408-297-3432",
            "fax_number": "405-298-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 FOREST AVE FL 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281469",
            "telephone_number": "408-297-3432",
            "fax_number": "405-298-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST AMBULATORY SURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Geraldine Francis Foreman, LMFT
• Jennifer W Foreman, MD
• Camilo Andres Forero-Mendoza Sr.
• Foresight Health Medical West PC
• Foresight Optometric Group
• Forest Anesthesia Medical Group Inc
• Forest Avenue Medical Group
• Megan Foret, PSYD
• Xiaofeng Hu Foret, L.AC
• Forever Medical Center

• Ambulatory Surgical Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.