Organization Active NPI

Yakima Valley Surgical Assoc PS

  • Ambulatory Surgical Clinic/Center
  • Sunnyside, WA
National Provider Identifier
1073624334
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
18116 Issued in WA
Legal business name
YAKIMA VALLEY SURGICAL ASSOC PS
Practice address
500 S 11TH St
Sunnyside, WA 98944-2240
Phone
(509) 837-7722
Fax
(509) 837-2587
NPI assigned
Aug 31, 2006
Organization subpart
Yes
Parent organization
YAKIMA VALLEY SURGICAL ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Mrs. Yolanda Phillips
Title
Office Manager
Phone
(509) 837-7722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 18116 WA Primary

Addresses

Primary practice location

500 S 11TH St
Sunnyside, WA 98944-2240

Mailing address

500 S 11TH St
Sunnyside, WA 98944-2240
Phone (509) 837-7722

National Provider Directory

National Provider Directory
Part of
Yakima Valley Surgical Assoc

Locations

500 S 11th St
Sunnyside, WA 98944
Phone (509) 837-1722

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1073624334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 11TH ST",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442240",
            "telephone_number": "509-837-7722",
            "fax_number": "509-837-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S 11TH ST",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442240",
            "telephone_number": "509-837-7722",
            "fax_number": "509-837-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA VALLEY SURGICAL ASSOC PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YAKIMA VALLEY SURGICAL ASSOCIATES",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-837-7722",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "18116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.