Active NPI
Sunset Surgical Centre LLC
- Ambulatory Surgical Clinic/Center
- Portland, OR
National Provider Identifier
1053688036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 60011591
- Legal business name
- SUNSET SURGICAL CENTRE LLC
- Practice address
- 9555 SW Barnes Rd
Suite 275
Portland, OR 97225-6663 - Phone
- (503) 297-8555
- NPI assigned
- Nov 19, 2011
- 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. Kim CHI Vu, MD
- Title
- Sole Member
- Phone
- (509) 297-8555
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 | 60011591 | OR | Primary |
Addresses
Primary practice location
9555 SW Barnes Rd
Suite 275
Portland, OR 97225-6663
Mailing address
15390 NW Cornell Rd
Beaverton, OR 97006
Phone (503) 297-8555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120801000880 | OR | Part B Supplier - Ambulatory Surgical Center | 3971759291 | Practice locations: Beaverton, OR |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Sunset Surgical Centre LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
15390 NW Cornell Rd
Beaverton, OR 97006
9555 SW Barnes Rd
Ste 275
Portland, OR 97225
Phone (503) 297-8555
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Beaverton, OR
- NPI 1770650194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321660800000",
"number": "1053688036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15390 NW CORNELL RD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "97006",
"telephone_number": "503-297-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9555 SW BARNES RD",
"address_2": "SUITE 275",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256663",
"telephone_number": "503-297-8555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSET SURGICAL CENTRE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-19",
"last_updated": "2011-11-19",
"status": "A",
"authorized_official_last_name": "VU",
"authorized_official_first_name": "KIM CHI",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "509-297-8555",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "OR",
"license": "60011591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; 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.