Organization Active NPI

Silicon Valley Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • San Jose, CA
National Provider Identifier
1255620639
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A84519 Issued in CA
Legal business name
SILICON VALLEY AMBULATORY SURGERY CENTER, LLC
Practice address
125 Ciro Ave
Ste 101 & 110
San Jose, CA 95128-1671
Phone
(424) 249-3783
Fax
(866) 851-2648
NPI assigned
Apr 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Carousel Castillo, BSCS, BSN
Title
Administrator
Phone
(424) 249-3783

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X A84519 CA
Ambulatory Surgical Clinic/Center 261QA1903X A84519 CA Primary

Addresses

Primary practice location

125 Ciro Ave
Ste 101 & 110
San Jose, CA 95128-1671

Mailing address

369 S Doheny Dr
Ste 169
Beverly Hills, CA 90211-3577
Phone (424) 249-3783

National Provider Directory

National Provider Directory

Locations

125 Ciro Ave
Ste 101
San Jose, CA 95128
Phone (408) 283-9022

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1255620639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 S DOHENY DR",
            "address_2": "STE 169",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113577",
            "telephone_number": "424-249-3783",
            "fax_number": "866-851-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CIRO AVE",
            "address_2": "STE 101 & 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281671",
            "telephone_number": "424-249-3783",
            "fax_number": "866-851-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILICON VALLEY AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "CAROUSEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "424-249-3783",
        "authorized_official_credential": "BSCS, BSN"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "A84519",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A84519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.