NPIMap

Organization Active NPI

Menlo Park Surgical Hospital

  • Surgery Physician
  • Menlo Park, CA
National Provider Identifier
1346363579
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MENLO PARK SURGICAL HOSPITAL
Practice address
570 Willow Rd
Menlo Park, CA 94025-2617
Phone
(650) 853-5488
NPI assigned
Apr 10, 2007
Last updated
Jun 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Mr. Brian Trent Hunter
Title
VP Shared Services
Phone
(916) 297-8555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X CA Primary

Addresses

Primary practice location

570 Willow Rd
Menlo Park, CA 94025-2617

Mailing address

PO Box 742738
Los Angeles, CA 90074-2738
Phone (831) 458-6989

National Provider Directory

National Provider Directory
Tax ID family
Peninsula Hosp and Med4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Locations

570 Willow Rd
Menlo Park, CA 94025
Phone (650) 324-8500

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1346363579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742738",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900742738",
            "telephone_number": "831-458-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 WILLOW RD",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252617",
            "telephone_number": "650-853-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENLO PARK SURGICAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "TRENT",
        "authorized_official_title_or_position": "VP SHARED SERVICES",
        "authorized_official_telephone_number": "916-297-8555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.