Mt. Diablo Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

550000123 Issued in CA

Legal business name

MT. DIABLO SURGERY CENTER

Practice address

2540 East St
2ND Floor, A2
Concord, CA 94520-1906

Phone

(925) 674-4740

NPI assigned

May 23, 2006

Last updated

Jun 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debbie Mack

Title

Area VP

Phone

(925) 674-4740

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• John Muir Health

  • Rehabilitation Hospital Unit
  • Walnut Creek, CA
  • NPI 1447269303

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1326093717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5214",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945240214",
            "telephone_number": "925-674-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 EAST ST",
            "address_2": "2ND FLOOR, A2",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201906",
            "telephone_number": "925-674-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. DIABLO SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "AREA VP",
        "authorized_official_telephone_number": "925-674-4740"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "550000123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Moyes
• Rose Moylan
• Sithabile Olee Moyo, RBT
• Jimmy Moz Borja
• Christevie Mpunga I
• Mt. Diablo Unified School District (Sunrise)
• Mt. Diablo Unified School District
• Mt. Diablo Unified School District
• Mt. Diablo Unified School District (Alliance)
• Mt. Diablo Unified School District

• Ambulatory Surgical Clinic/Center in Concord, CA
• Providers in Concord, 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 18, 2010; 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.