Organization Active NPI

Uas Management, Inc.

Doing business as University Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Merced, CA
National Provider Identifier
1306905815
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
040000537 Issued in CA
Legal business name
UAS MANAGEMENT, INC.
Doing business as
University Surgery Center
Practice address
1390 E Yosemite Ave Ste B
Merced, CA 95340-8221
Phone
(209) 580-3400
NPI assigned
Dec 8, 2006
Last updated
Feb 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Authorized official

Name
Dr. Kenneth R Grossman, M.D.
Title
Medical Director
Phone
(209) 580-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 040000537 CA Primary

Addresses

Primary practice location

1390 E Yosemite Ave Ste B
Merced, CA 95340-8221

Mailing address

1390 E Yosemite Ave Ste B
Merced, CA 95340-8221
Phone (209) 580-3400

Other identifiers 4

IdentifierTypeStateIssuer
353163400OtherCAUS DEPT OF LABOR
ZZZH2404ZOtherCABLUE SHIELD
AS1571OtherCABLUE CROSS
SUR01571FMedicaidCA

Other names 1

  • University Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041116000582 CA Part B Supplier - Ambulatory Surgical Center 9335103761 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Merced, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1390 E Yosemite Ave
Ste B
Merced, CA 95340
Phone (209) 580-3400

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1306905815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 E YOSEMITE AVE STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408221",
            "telephone_number": "209-580-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 E YOSEMITE AVE STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408221",
            "telephone_number": "209-580-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UAS MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "209-580-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "040000537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "353163400",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZH2404Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AS1571",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01571F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.