Otology Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

OTOLOGY SURGERY CENTER

Practice address

1900 University Ave Ste 101
East Palo Alto, CA 94303-2213

Phone

(650) 494-1000

NPI assigned

Jun 20, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Lydia Blevins

Title

Business Office Director

Phone

(650) 494-1000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1285920132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 UNIVERSITY AVE STE 101",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943032213",
            "telephone_number": "650-494-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 UNIVERSITY AVE STE 101",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943032213",
            "telephone_number": "650-494-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTOLOGY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "650-494-1000",
        "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": []
}

• Fabrienne Fritzi Lucas Ocampo
• Natalie Ann Okuhara
• Sarah Olivencia
• Greg Oremland, APCC
• Litzuly Nayeli Otlica, RN
• Our Common Ground, Inc.
• Our Common Ground, Inc. - Epa
• Leticia S Padilla
• Runjhun Nitin Pandit
• Ushma Patel, RDHAP

• Ambulatory Surgical Clinic/Center in East Palo Alto, CA
• Providers in East Palo Alto, 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 Jun 20, 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.