Organization Active NPI

Hope Square Surgical Center LLC

Doing business as Hope Square Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Rancho Mirage, CA
National Provider Identifier
1144225608
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
250000515 Issued in CA
Legal business name
HOPE SQUARE SURGICAL CENTER LLC
Doing business as
Hope Square Surgical Center
Practice address
39700 Bob Hope Drive
Suite 301
Rancho Mirage, CA 92270-7129
Phone
(760) 346-7696
Fax
(760) 340-5156
NPI assigned
Jun 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Authorized official

Name
Miss Katherine L. Reed
Title
Officer, Medicare Authorized Offici
Phone
(972) 763-3859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 250000515 CA Primary

Addresses

Primary practice location

39700 Bob Hope Drive
Suite 301
Rancho Mirage, CA 92270-7129

Mailing address

39700 Bob Hope Drive
Suite 301
Rancho Mirage, CA 92270-7129
Phone (760) 346-7696

Other identifiers 1

IdentifierTypeStateIssuer
051364OtherCABLUE CROSS OF CALIFORNIA

Other names 1

  • Hope Square Surgical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1144225608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39700 BOB HOPE DRIVE",
            "address_2": "SUITE 301",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922707129",
            "telephone_number": "760-346-7696",
            "fax_number": "760-340-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39700 BOB HOPE DRIVE",
            "address_2": "SUITE 301",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922707129",
            "telephone_number": "760-346-7696",
            "fax_number": "760-340-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE SQUARE SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICER, MEDICARE AUTHORIZED OFFICI",
        "authorized_official_telephone_number": "972-763-3859",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "250000515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF CALIFORNIA",
            "identifier": "051364",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Square Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.