CCC Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CCC SURGERY CENTER LLC

Practice address

1000 S Anaheim Blvd
Suite 300
Anaheim, CA 92805

Phone

(714) 833-5558

NPI assigned

Oct 15, 2012

Organization subpart

No

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

Authorized official

Name

Gary Chen, M.D.

Title

President

Phone

(714) 833-5558

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1295088227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S ANAHEIM BLVD",
            "address_2": "SUITE 300",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92805",
            "telephone_number": "714-833-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S ANAHEIM BLVD",
            "address_2": "SUITE 300",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92805",
            "telephone_number": "714-833-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCC SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-833-5558",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMQ (INSTITUTE FOR MEDICAL QUALITY)",
            "identifier": "10214",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Anaheim, CA
• Providers in Anaheim, 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 Nov 12, 2013; 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.