Organization Active NPI

Mission Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Fremont, CA
National Provider Identifier
1255793758
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MISSION SURGERY CENTER, INC.
Practice address
38437 Mission Blvd
Suite 102
Fremont, CA 94536-4318
Phone
(510) 366-6286
NPI assigned
Mar 23, 2016
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Tulsidas Gwalani, MDNPI 1083717979
Title
Medical Director/Owner
Phone
(510) 818-9237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

38437 Mission Blvd
Suite 102
Fremont, CA 94536-4318

Mailing address

38437 Mission Blvd
Fremont, CA 94536-4318
Phone (510) 366-6286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170217001686 CA Part B Supplier - Ambulatory Surgical Center 1759664758 Practice locations: Fremont, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Mission Surgery Center IncCCN 05C0002212
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2110332Mission Surgery Center, Inc.38437 Mission Blvd Ste 102, Fremont, CA 94536Certificate of waiverMar 13, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1255793758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38437 MISSION BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364318",
            "telephone_number": "510-366-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38437 MISSION BLVD",
            "address_2": "SUITE 102",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364318",
            "telephone_number": "510-366-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "GWALANI",
        "authorized_official_first_name": "TULSIDAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "510-818-9237",
        "authorized_official_credential": "MD"
    },
    "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 Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.