North Bay Regional Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTH BAY REGIONAL SURGERY CENTER, LLC

Practice address

100 Rowland Way
Suite 145
Novato, CA 94945-5041

Phone

(415) 892-1920

Fax

(415) 892-1320

NPI assigned

Jan 3, 2008

Last updated

Jan 26, 2009By 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

William Davis

Title

VP

Phone

(916) 286-8202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

North Bay Regional Surgery CenterCCN 05C0001870

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

North Bay Regional Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• North Bay Regional Surgery Center, LLC

  dba Novato Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Novato, CA
  • NPI 1952692659
  NPD tax ID

Member of 2

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

• Mark S Lawler MD Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Novato, CA
  • NPI 1750511440

  Member Of

  NPD member
• Sutter Bay Medical Foundation

  dba Palo Alto Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Los Gatos, CA
  • NPI 1518696459

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1346425733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROWLAND WAY",
            "address_2": "SUITE 145",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455041",
            "telephone_number": "415-892-1920",
            "fax_number": "415-892-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROWLAND WAY",
            "address_2": "SUITE 145",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455041",
            "telephone_number": "415-892-1920",
            "fax_number": "415-892-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY REGIONAL SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "916-286-8202"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patti Nolan, LCSW, BCD
• Norman I. Elloway D.D.S
• Karen Kovac Norman, OTR/L
• North Bay Home Care
• North Bay Hospital Medicine Group, Inc.
• North Bay Regional Surgery Center, LLC (Novato Endoscopy Center)
• North Bay Spine & Neuropathy Inc
• North Marin Community Services
• Novato Acupuncture and Herb Clinic Inc
• Novato Back Care and Sports Physical Therapy

• Ambulatory Surgical Clinic/Center in Novato, CA
• Providers in Novato, 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 Jan 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.