Valley Baptist Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

000380 Issued in TX

Legal business name

VALLEY BAPTIST AMBULATORY SURGERY CENTER, LLC

Doing business as

Platinum Surgery Center

Practice address

2220 Pease St
Harlingen, TX 78550-8308

Phone

(956) 389-6000

Fax

(956) 389-6015

NPI assigned

Sep 17, 2006

Last updated

Jul 8, 2019By 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

Norma Edith Gutierrez, RHIT

Title

Biller/Claims Specialist

Phone

(956) 389-6000

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Platinum Surgery Center Doing business as

Listed as

Platinum Surgery CenterCCN 45C0001232

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy Domingo, RN

  • Registered Nurse
  • Harlingen, TX
  • NPI 1316784846
  NPD
• Tan Duong Nguyen, MD

  • Otolaryngology Physician
  • McAllen, TX
  • NPI 1639106107
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1336246099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 PEASE ST",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508308",
            "telephone_number": "956-389-6000",
            "fax_number": "956-389-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 PEASE ST",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508308",
            "telephone_number": "956-389-6000",
            "fax_number": "956-389-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY BAPTIST AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "EDITH",
        "authorized_official_title_or_position": "BILLER/CLAIMS SPECIALIST",
        "authorized_official_telephone_number": "956-389-6000",
        "authorized_official_credential": "RHIT"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "000380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087947002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0879470-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "490004156",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platinum Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Platinum Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Vallejo, RN
• Hilda Alicia Vallejo
• Jessica Vallejo
• Valley AIDS Council
• Valley AIDS Council
• Valley Baptist Lab Services LLC (Community Reference Laboratory)
• Valley Baptist Management Services Corporation (Community Reference Lab)
• Valley Baptist Management Services Corporation
• Valley Baptist Medical Center
• Valley Baptist Medical Center

• Ambulatory Surgical Clinic/Center in Harlingen, TX
• Providers in Harlingen, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.