Organization Active NPI

Yosemite Street Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lone Tree, CO
National Provider Identifier
1083893499
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
YOSEMITE STREET SURGERY CENTER, LLC
Practice address
9777 S. Yosemite St
Ste 210
Lone Tree, CO 80124-3191
Phone
(303) 708-2943
Fax
(303) 379-6861
NPI assigned
Nov 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Mr. Laurence Colletti, JD-MBA
Title
Business Manager
Phone
(303) 521-2033

Specialties & licenses 1

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

Addresses

Primary practice location

9777 S. Yosemite St
Ste 210
Lone Tree, CO 80124-3191

Mailing address

9777 S. Yosemite St
Ste 210
Lone Tree, CO 80124-3191
Phone (303) 708-2943

National Provider Directory

National Provider Directory
Tax ID family
Renewal Surgery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1083893499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 S. YOSEMITE ST",
            "address_2": "STE 210",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801243191",
            "telephone_number": "303-708-2943",
            "fax_number": "303-379-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 S. YOSEMITE ST",
            "address_2": "STE 210",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801243191",
            "telephone_number": "303-708-2943",
            "fax_number": "303-379-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOSEMITE STREET SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "COLLETTI",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "303-521-2033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD-MBA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.