Organization Active NPI

Kattash Medical Corp

  • Ambulatory Surgical Clinic/Center
  • Rancho Cucamonga, CA
National Provider Identifier
1063740322
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
KATTASH MEDICAL CORP
Practice address
8710 Monroe CT
Suite 250
Rancho Cucamonga, CA 91730-4883
Phone
(909) 987-9100
Fax
(909) 987-9113
NPI assigned
Nov 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Helena You
Title
Administrator
Phone
(909) 987-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

8710 Monroe CT
Suite 250
Rancho Cucamonga, CA 91730-4883

Mailing address

8710 Monroe CT
Suite 250
Rancho Cucamonga, CA 91730-4883
Phone (909) 987-9100

Other names 1

  • Rancho Outpatient Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

8710 Monroe Ct
Ste 250
Rancho Cucamonga, CA 91730
Phone (909) 987-9100

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1063740322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8710 MONROE CT",
            "address_2": "SUITE 250",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304883",
            "telephone_number": "909-987-9100",
            "fax_number": "909-987-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 MONROE CT",
            "address_2": "SUITE 250",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304883",
            "telephone_number": "909-987-9100",
            "fax_number": "909-987-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATTASH MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "YOU",
        "authorized_official_first_name": "HELENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-987-9100"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho Outpatient Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.

Verify at the official NPI Registry.