Organization Active NPI

Valley Ambulatory Surgery Center

  • Ambulatory Fertility Facility
  • San Jose, CA
National Provider Identifier
1356407100
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Fertility FacilityTaxonomy code 261QA0006X
License
CLN1500 Issued in CA
Legal business name
VALLEY AMBULATORY SURGERY CENTER
Practice address
2581 Samaritan Dr
Suite 308
San Jose, CA 95124-4113
Phone
(408) 876-4800
Fax
(408) 876-4809
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alma Van Den Raadt
Title
Chief Operations Officer
Phone
(408) 402-9219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Fertility Facility 261QA0006X CLN1500 CA Primary

Addresses

Primary practice location

2581 Samaritan Dr
Suite 308
San Jose, CA 95124-4113

Mailing address

2581 Samaritan Dr
Suite 302
San Jose, CA 95124-4113
Phone (408) 356-5000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356407100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 SAMARITAN DR",
            "address_2": "SUITE 302",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244113",
            "telephone_number": "408-356-5000",
            "fax_number": "408-356-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 SAMARITAN DR",
            "address_2": "SUITE 308",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244113",
            "telephone_number": "408-876-4800",
            "fax_number": "408-876-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN DEN RAADT",
        "authorized_official_first_name": "ALMA",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "408-402-9219"
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": "CA",
            "license": "CLN1500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.