Blackhawk Surgery Center, a Medical Corp.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BLACKHAWK SURGERY CENTER, A MEDICAL CORP.

Practice address

3601 Blackhawk Plaza Circle
Danville, CA 94506

Phone

(925) 736-5757

Fax

(925) 736-5763

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephen J. Ronan, M.D.NPI 1649239971

Title

Owner

Phone

(925) 736-5757

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Stephen John Ronan, MD

  • Plastic Surgery Physician
  • Danville, CA
  • NPI 1649239971
  NPD (past) Authorized official

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1144259870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11999 SAN VICENTE BL.",
            "address_2": "# 440",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90049",
            "telephone_number": "310-440-3131",
            "fax_number": "310-472-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 BLACKHAWK PLAZA CIRCLE",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "94506",
            "telephone_number": "925-736-5757",
            "fax_number": "925-736-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKHAWK SURGERY CENTER, A MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "RONAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-736-5757",
        "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": []
}

• Tamar Binyamin
• Elizabeth Leslie Black, LMFT, PH.D.
• Blackhawk Dental Group
• Blackhawk Medical Group, Inc
• Blackhawk Plastic Surgery, a Medical Corp.
• Leslie A Blinn, PHARM. D.
• Charlene Boatright, FNP
• Victoria E Boccanfuso, PSYD
• Christina Dolores Bode, RD, CDE
• Bodymax Physical Therapy, Inc.

• Ambulatory Surgical Clinic/Center in Danville, CA
• Providers in Danville, 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 Oct 31, 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.