Organization Active NPI

Davis Surgery Center, LP

Doing business as Davis Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Davis, CA
National Provider Identifier
1205894466
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
030001792 Issued in CA
Legal business name
DAVIS SURGERY CENTER, LP
Doing business as
Davis Surgery Center
Practice address
2120 Cowell Blvd
Suite 142
Davis, CA 95618-7840
Phone
(530) 750-7766
Fax
(530) 750-7767
NPI assigned
May 3, 2006
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Mr. Phillip A Clendenin
Title
President of LP
Phone
(615) 665-1283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 030001792 CA Primary

Addresses

Primary practice location

2120 Cowell Blvd
Suite 142
Davis, CA 95618-7840

Mailing address

20 Burton Hills Blvd.
Suite 500 Attn: L&C
Nashville, TN 37215-6176
Phone (615) 240-3820

Other names 1

  • Davis Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

2120 Cowell Blvd
Apt 142
Davis, CA 95618
Phone (301) 330-6203

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1205894466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BURTON HILLS BLVD.",
            "address_2": "SUITE 500 ATTN: L&C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156176",
            "telephone_number": "615-240-3820",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 COWELL BLVD",
            "address_2": "SUITE 142",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956187840",
            "telephone_number": "530-750-7766",
            "fax_number": "530-750-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS SURGERY CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "CLENDENIN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OF LP",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "030001792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.