Kearny Mesa Ambulatory Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KEARNY MESA AMBULATORY SURGICAL CENTER

Practice address

5225 Kearny Villa Way
San Diego, CA 92123-1410

Phone

(858) 974-7200

Fax

(858) 627-0076

NPI assigned

Jun 20, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Bruce L Gertsch

Title

President

Phone

(858) 974-7200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1326498379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 KEARNY VILLA WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231410",
            "telephone_number": "858-974-7200",
            "fax_number": "858-627-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 KEARNY VILLA WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231410",
            "telephone_number": "858-974-7200",
            "fax_number": "858-627-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNY MESA AMBULATORY SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "GERTSCH",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-974-7200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Michael Kearney, PA-C
• Robert E Kearney, MD
• Donald Bokenfohr Kearns, M.D.
• Mark Joseph Kearns, M.D.
• Michel John Kearns, M.D.
• Kearny Mesa Medical Group
• Emily Keas
• Alisha Jane Keating, NP
• Andrew Keating, L.AC, MSTOM, DAOM
• Michael Patrick Keating, M.D.

• Ambulatory Surgical Clinic/Center in San Diego, CA
• Providers in San Diego, 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 8, 2017; 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.