Organization Active NPI

Body by Fisher Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Yorba Linda, CA
National Provider Identifier
1366635294
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BODY BY FISHER SURGERY CENTER
Practice address
17491 Bastanchury Rd
Yorba Linda, CA 92886-1801
Phone
(714) 773-9010
Fax
(714) 528-7087
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Dr. John Bradford Fisher, M.D.
Title
Director
Phone
(714) 773-9010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

17491 Bastanchury Rd
Yorba Linda, CA 92886-1801

Mailing address

17491 Bastanchury Rd
Yorba Linda, CA 92886-1801
Phone (714) 773-9010

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1366635294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17491 BASTANCHURY RD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928861801",
            "telephone_number": "714-773-9010",
            "fax_number": "714-528-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17491 BASTANCHURY RD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928861801",
            "telephone_number": "714-773-9010",
            "fax_number": "714-528-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY BY FISHER SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-773-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.