Eye Face & Body Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EYE FACE & BODY SURGERY CENTER LLC

Practice address

4906 El Camino Real
Suite C
Los Altos, CA 94022-1449

Phone

(650) 967-7834

NPI assigned

Sep 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Barry Yp Fung, M.DNPI 1225079205

Title

Director

Phone

(650) 967-7834

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 05C0002266

Legal name

EYE, FACE & BODY SURGERY CENTER LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 24, 2020

Last certification

Nov 24, 2020

Ownership / control type

Proprietary

Facility address

4906 El Camino Real, Suite C
Los Altos, CA 94022

Locations

Practitioners 1

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

• Barry Y.P. Fung, M.D.

  • Ophthalmology Physician
  • Los Altos, CA
  • NPI 1225079205
  NPD Authorized official

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1083922066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 S KING RD",
            "address_2": "SUITE 10B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221811",
            "telephone_number": "408-238-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 EL CAMINO REAL",
            "address_2": "SUITE C",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221449",
            "telephone_number": "650-967-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE FACE & BODY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "FUNG",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "YP",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "650-967-7834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Yixiao Engle, M.D.
• Michal Esplin
• Francesca Rose Eszes
• Anne Haunschild Evans, LMFT
• Evonne E. David
• Eye Lite Optometry, Inc.
• Cyrus Ezzati, DDS
• Susan Ezzati, DDS
• Dennis Bernard Facchino, PH.D.
• Faircare, Inc.

• Ambulatory Surgical Clinic/Center in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.