Valencia Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VALENCIA SURGERY CENTER LLC

Practice address

150 Laguna Road
Fullerton, CA 92835

Phone

(714) 447-4800

Fax

(714) 447-1098

NPI assigned

Sep 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gordon Colin Gunn, MD

Title

Surgeon Owner

Phone

(714) 992-2221

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 05C0001474

Legal name

VALENCIA SURGERY CENTER

Certification status

Terminated , Oct 1, 2013

Provider type (POS)

Ambulatory surgical center

Participating since

Aug 3, 2000

Last certification

Nov 10, 2010

Ownership / control type

Proprietary

Facility address

150 Laguna Road
Fullerton, CA 92835

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1316041304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LAGUNA ROAD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92835",
            "telephone_number": "714-447-4800",
            "fax_number": "714-447-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LAGUNA ROAD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92835",
            "telephone_number": "714-447-4800",
            "fax_number": "714-447-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENCIA SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "GUNN",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "COLIN",
        "authorized_official_title_or_position": "SURGEON OWNER",
        "authorized_official_telephone_number": "714-992-2221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Valdez
• Lauren Kristine Valdivia, HIGH SCHOOL DIPLOMA
• Viviana Alia Valdiviezo
• Valencia Family Dental Care
• Geraldine Valencia Hernandez
• Angel Anthony Valencia
• Carla Julethe Valencia
• Francisco Rene Valencia
• Estefani Valente
• Gregory J Valentine, D.C.

• Ambulatory Surgical Clinic/Center in Fullerton, CA
• Providers in Fullerton, 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 Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.