Organization Active NPI

Bovet Surgery Center, LLC.

  • Ambulatory Surgical Clinic/Center
  • San Mateo, CA
National Provider Identifier
1366861080
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BOVET SURGERY CENTER, LLC.
Practice address
66 Bovet Rd Ste 101
San Mateo, CA 94402-3126
Phone
(650) 570-4271
NPI assigned
Apr 9, 2014
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Dr. Robert Brink
Title
President
Phone
(650) 678-5082

Specialties & licenses 1

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

Addresses

Primary practice location

66 Bovet Rd Ste 101
San Mateo, CA 94402-3126

Mailing address

66 Bovet Rd Ste 101
San Mateo, CA 94402-3126

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1366861080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BOVET RD STE 101",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BOVET RD STE 101",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023126",
            "telephone_number": "650-570-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOVET SURGERY CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "BRINK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-678-5082",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.