Active NPI
Advanced Surgery Institute, LLC
- Ambulatory Surgical Clinic/Center
- Santa Rosa, CA
National Provider Identifier
1063646594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ADVANCED SURGERY INSTITUTE, LLC
- Practice address
- 1739 4TH St
Santa Rosa, CA 95404-3601 - Phone
- (707) 396-0138
- Fax
- (707) 538-8299
- NPI assigned
- May 12, 2009
- Last updated
- May 12, 2009
- 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
- Mr. Jeff Simmons
- Title
- Board Member
- Phone
- (707) 538-8299
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | CA | Primary |
Addresses
Primary practice location
1739 4TH St
Santa Rosa, CA 95404-3601
Mailing address
1739 4TH St
Santa Rosa, CA 95404-3601
Phone (707) 396-0138
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Otolaryngology Physician
- Santa Rosa, CA
- NPI 1184724171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242086400000",
"number": "1063646594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1739 4TH ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954043601",
"telephone_number": "707-396-0138",
"fax_number": "707-538-8299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1739 4TH ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954043601",
"telephone_number": "707-396-0138",
"fax_number": "707-538-8299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED SURGERY INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-12",
"last_updated": "2009-05-12",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "BOARD MEMBER",
"authorized_official_telephone_number": "707-538-8299",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
- Adapthealth West, LLC (AdaptHealth)
- Richard B. Addison, PHD
- Afua Adih
- Christopher Adkins, PHARMD
- Naveen Kumar Reddy Admala, DMD
- Advanced Vision Group, Inc. (Advanced Vision Optometry)
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Advocacy Home Nursing, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.