Active NPI
Guanyin Surgery Center,Inc
- Ambulatory Surgical Clinic/Center
- Chino, CA
National Provider Identifier
1154795730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- GUANYIN SURGERY CENTER,INC
- Practice address
- 11760 Central Ave
Suite 204
Chino, CA 91710-1900 - Phone
- (909) 590-7166
- Fax
- (909) 590-7764
- NPI assigned
- Nov 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Len Chong, RN
- Title
- Administrator
- Phone
- (909) 576-4183
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
11760 Central Ave
Suite 204
Chino, CA 91710-1900
Mailing address
11760 Central Ave
Suite 204
Chino, CA 91710-1900
Phone (909) 590-7166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040603001531 | CA | Part B Supplier - Clinic/Group Practice | 6709868623 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Chino, CA; Santa Ana, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447891200000",
"number": "1154795730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11760 CENTRAL AVE",
"address_2": "SUITE 204",
"city": "CHINO",
"state": "CA",
"postal_code": "917101900",
"telephone_number": "909-590-7166",
"fax_number": "909-590-7764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11760 CENTRAL AVE",
"address_2": "SUITE 204",
"city": "CHINO",
"state": "CA",
"postal_code": "917101900",
"telephone_number": "909-590-7166",
"fax_number": "909-590-7764"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUANYIN SURGERY CENTER,INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-19",
"last_updated": "2015-11-19",
"status": "A",
"authorized_official_last_name": "CHONG",
"authorized_official_first_name": "LEN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "909-576-4183",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.