Farwell Surgicenter

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FARWELL SURGICENTER

Practice address

39180 Farwell Dr
Fremont, CA 94538-1015

Phone

(510) 857-1004

NPI assigned

Jun 12, 2012

Organization subpart

No

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

Authorized official

Name

Michael Heifferon

Title

Administrator

Phone

(510) 857-1004

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1043572373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5178 MOWRY AVE",
            "address_2": "SUITE 2114",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39180 FARWELL DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381015",
            "telephone_number": "510-857-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARWELL SURGICENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "HEIFFERON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-857-1004"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Michael Fanucchi, M.F.T.
• Gelareh Farahmand
• Maya Farnum
• Farwell Natural Health & Acupuncture Wellness Inc
• Farwell Surgical Partners LLC
• Sepideh Fatemi
• Fatimalourdes Medical and Nursing Inc
• Michael Fredric Fauria, O.D.
• Rachel Emily Feder
• Gloria Ann Federico

• Ambulatory Surgical Clinic/Center in Fremont, CA
• Providers in Fremont, 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 Jun 20, 2012; 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.