NPIMap

Organization Active NPI

Premier Surgicenter LLC

  • Ambulatory Surgical Clinic/Center
  • Fremont, CA
National Provider Identifier
1306137542
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PREMIER SURGICENTER LLC
Practice address
39180 Farwell Dr
Suite 105
Fremont, CA 94538-1052
Phone
(510) 494-0800
Fax
(510) 494-0804
NPI assigned
Apr 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Dr. Basil Besh, M.D.
Title
Managing Control
Phone
(510) 494-0800

Specialties & licenses 1

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

Addresses

Primary practice location

39180 Farwell Dr
Suite 105
Fremont, CA 94538-1052

Mailing address

39180 Farwell Dr
Suite 105
Fremont, CA 94538-1052
Phone (510) 494-0800

Other names 1

  • PREMIER SURGICENTER Doing business as

National Provider Directory

National Provider Directory

Locations

39180 Farwell Dr
Ste 105
Fremont, CA 94538
Phone (510) 494-0800

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1306137542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39180 FARWELL DR",
            "address_2": "SUITE 105",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381052",
            "telephone_number": "510-494-0800",
            "fax_number": "510-494-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39180 FARWELL DR",
            "address_2": "SUITE 105",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381052",
            "telephone_number": "510-494-0800",
            "fax_number": "510-494-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SURGICENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "BESH",
        "authorized_official_first_name": "BASIL",
        "authorized_official_title_or_position": "MANAGING CONTROL",
        "authorized_official_telephone_number": "510-494-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER SURGICENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 21, 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.