Hallmark Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HALLMARK SURGICAL CENTER, LLC

Practice address

4130 Hallmark Pkwy
Suite a
San Bernardino, CA 92407-1877

Phone

(909) 473-1980

Fax

(909) 473-1985

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Sandy Roy

Title

Controller

Phone

(909) 473-1980

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1235203233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 HALLMARK PKWY",
            "address_2": "SUITE A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924071877",
            "telephone_number": "909-473-1980",
            "fax_number": "909-473-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 HALLMARK PKWY",
            "address_2": "SUITE A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924071877",
            "telephone_number": "909-473-1980",
            "fax_number": "909-473-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLMARK SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "909-473-1980"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051614",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Hall, MPH, RD
• Morena Hall
• Veda Hall
• Victoria Frances Hall
• Hallmark MRI LLC
• Arthur Halpin, MOT, OTR/L
• Sharon Simone Halter-Day
• Nazneen Samad Hamade
• Marc C Hamilton, DC
• Mirely Hamilton

• Ambulatory Surgical Clinic/Center in San Bernardino, CA
• Providers in San Bernardino, 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 Oct 15, 2007; 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.