Organization Active NPI

Porter Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • San Ramon, CA
National Provider Identifier
1164028478
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PORTER AMBULATORY SURGERY CENTER, LLC
Practice address
200 Porter Dr Ste 110B
San Ramon, CA 94583-1524
Phone
(925) 413-0407
NPI assigned
Dec 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Cindy James
Title
Partner
Phone
(925) 462-3020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

200 Porter Dr Ste 110B
San Ramon, CA 94583-1524

Mailing address

200 Porter Dr Ste 110B
San Ramon, CA 94583-1524

National Provider Directory

National Provider Directory

Locations

200 Porter Dr
Ste 110B
San Ramon, CA 94583
Phone (925) 413-0407

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1164028478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PORTER DR STE 110B",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PORTER DR STE 110B",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831524",
            "telephone_number": "925-413-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "925-462-3020"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.