Foothill Surgery Center LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

930001003 Issued in CA

Legal business name

FOOTHILL SURGERY CENTER LP

Practice address

255 E. Santa Clara St. 110
Arcadia, CA 91006

Phone

(818) 956-1010

Fax

(818) 543-6083

NPI assigned

Feb 28, 2008

Organization subpart

No

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

Authorized official

Name

Richard Weise, M.D.NPI 1285622662

Title

Medical Director

Phone

(818) 956-1010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Richard A Weise, MD

  • Ophthalmology Physician
  • Glendale, CA
  • NPI 1285622662
  NPD Authorized official
• Andrew F. Phillips, M.D.

  • Low Vision Rehabilitation Optometrist
  • Arcadia, CA
  • NPI 1366522427
  NPD (past)

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1144499633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E. SANTA CLARA ST. 110",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91006",
            "telephone_number": "818-956-1010",
            "fax_number": "818-543-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E. SANTA CLARA ST. 110",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91006",
            "telephone_number": "818-956-1010",
            "fax_number": "818-543-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL SURGERY CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "WEISE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-956-1010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "930001003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Floum
• Timothy Arthur Foley, MFCC
• Alan Fong, MD
• Kirstie Fong
• Foothill Allergy & Wellness Center
• Foothill Surgery Center, LLC
• Foothill Vascular Center Inc
• Fortanasce Physical Therapy, Inc
• Vincent M Fortanasce, M.D.
• Kyle Bruce Fortson

• Ambulatory Surgical Clinic/Center in Arcadia, CA
• Providers in Arcadia, 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 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.