Organization Active NPI

Liberty Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Fremont, CA
National Provider Identifier
1164848032
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LIBERTY SURGICAL CENTER, LLC
Practice address
1860 Mowry Ave
Suite 401
Fremont, CA 94538-1730
Phone
(510) 713-0700
Fax
(510) 713-0701
NPI assigned
Mar 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Authorized official

Name
Ms. Maureen Jaroscak
Title
Chief Financial Officer
Phone
(424) 279-9481

Specialties & licenses 1

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

Addresses

Primary practice location

1860 Mowry Ave
Suite 401
Fremont, CA 94538-1730

Mailing address

9461 Charleville Blvd
Suite 483
Beverly Hills, CA 90212-3017
Phone (424) 279-9481

National Provider Directory

National Provider Directory

Locations

1860 Mowry Ave
Ste 401
Fremont, CA 94538
Phone (510) 556-5000

NPI Registry JSON

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1164848032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9461 CHARLEVILLE BLVD",
            "address_2": "SUITE 483",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123017",
            "telephone_number": "424-279-9481",
            "fax_number": "424-279-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 MOWRY AVE",
            "address_2": "SUITE 401",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381730",
            "telephone_number": "510-713-0700",
            "fax_number": "510-713-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "JAROSCAK",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "424-279-9481",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.