NPIMap

Organization Active NPI

Observatory Surgery Center LLC.

  • Ambulatory Surgical Clinic/Center
  • Ukiah, CA
National Provider Identifier
1083944375
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
OBSERVATORY SURGERY CENTER LLC.
Practice address
271 Observatory Ave
Ukiah, CA 95482-5757
Phone
(707) 462-2299
Fax
(707) 462-1194
NPI assigned
Jan 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Mr. Harry B Matossian, MDNPI 1316945702
Title
MD/ Owner
Phone
(707) 462-0681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

271 Observatory Ave
Ukiah, CA 95482-5757

Mailing address

271 Observatory Ave
Ukiah, CA 95482-5757
Phone (707) 462-2299

National Provider Directory

National Provider Directory

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": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1083944375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 OBSERVATORY AVE",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825757",
            "telephone_number": "707-462-2299",
            "fax_number": "707-462-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 OBSERVATORY AVE",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825757",
            "telephone_number": "707-462-2299",
            "fax_number": "707-462-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSERVATORY SURGERY CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "MATOSSIAN",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MD/ OWNER",
        "authorized_official_telephone_number": "707-462-0681",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.