Organization Active NPI

Guanyin Surgery Center,Inc

  • Ambulatory Surgical Clinic/Center
  • Chino, CA
National Provider Identifier
1154795730
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Nov 19, 2015

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 Directory

NPI 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.

Verify at the official NPI Registry.