Canyon Specialty Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CANYON SPECIALTY SURGERY CENTER LLC

Practice address

145 S Chaparral CT Ste 101
Anaheim, CA 92808-2265

Phone

(714) 462-3005

NPI assigned

Sep 24, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Jamshid Shadjareh, RN

Title

Chairman, Governing Body

Phone

(714) 462-3005

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1154805240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S CHAPARRAL CT STE 101",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082265",
            "telephone_number": "714-462-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S CHAPARRAL CT STE 101",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082265",
            "telephone_number": "714-462-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON SPECIALTY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "SHADJAREH",
        "authorized_official_first_name": "JAMSHID",
        "authorized_official_title_or_position": "CHAIRMAN, GOVERNING BODY",
        "authorized_official_telephone_number": "714-462-3005",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dexter Nonato Canonigo, BEHAVIOR TECHNICIAN
• Diana Maler Canter, DDS
• Brenda Cantoran
• Marjorie Cantrell, MFT
• Canyon Acres Children and Family Services
• Diem Cao, DDS
• Anthony Capati
• Nian Capili
• Paniz Capone
• Paul Capone

• Ambulatory Surgical Clinic/Center in Anaheim, CA
• Providers in Anaheim, 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 Sep 24, 2018; 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.