Active NPI
Hospital Drive Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Mountain View, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- HOSPITAL DRIVE SURGERY CENTER, LLC
- Practice address
- 2500 Hospital Dr
BLDG. 9, Ste. B
Mountain View, CA 94040-4106 - Phone
- (650) 254-1200
- NPI assigned
- May 15, 2007
- 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
- Dr. Joshua Korman, M.D.
- Title
- Owner
- Phone
- (650) 254-1200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
2500 Hospital Dr
BLDG. 9, Ste. B
Mountain View, CA 94040-4106
Mailing address
11999 San Vicente Blvd
Ste. 440
Los Angeles, CA 90049-5131
Phone (310) 471-5852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050713000168 | CA | Part B Supplier - Ambulatory Surgical Center | 6406882273 | Practice locations: Mountain View, CA |
Ambulatory surgical center certification: CCN 05C0001549
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
- HOSPITAL DRIVE SURGERY CENTER
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- May 7, 2002
- Last certification
- Dec 14, 2020
- Ownership / control type
- Proprietary
- Facility address
- 2500 Hospital Drive, BLDG 9B
Mountain View, CA 94040
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1086627 | Hospital Drive Surgery Center | Certificate of waiver | Jul 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
2500 Hospital Dr
Ste 9B
Mountain View, CA 94040
Phone (650) 254-0888
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Mountain View, CA
- NPI 1780723429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217980800000",
"number": "1043426950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11999 SAN VICENTE BLVD",
"address_2": "STE. 440",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495131",
"telephone_number": "310-471-5852",
"fax_number": "310-471-3958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 HOSPITAL DR",
"address_2": "BLDG. 9, STE. B",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940404106",
"telephone_number": "650-254-1200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPITAL DRIVE SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2008-08-06",
"status": "A",
"authorized_official_last_name": "KORMAN",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "650-254-1200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.
- 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.