Eds Center, LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EDS CENTER, LP

Practice address

316 S Eldorado St
Suite 110
San Mateo, CA 94401-3330

Phone

(650) 477-2993

NPI assigned

May 28, 2016

Organization subpart

No

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

Authorized official

Name

James Newman, MDNPI 1619012762

Title

Manager

Phone

(650) 340-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eldorado Surgical Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Newman, MD

  • Plastic Surgery Physician
  • Palo Alto, CA
  • NPI 1619012762
  NPD Authorized official
• David Michael Glenn, MD

  • Anesthesiology Physician
  • San Mateo, CA
  • NPI 1194875229
  NPD (past)

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

{
    "created_epoch": "1464393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511308800000",
    "number": "1386092542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S ELDORADO ST",
            "address_2": "SUITE 110",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013330",
            "telephone_number": "650-477-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S ELDORADO ST",
            "address_2": "SUITE 110",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013330",
            "telephone_number": "650-477-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDS CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-28",
        "last_updated": "2017-11-22",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "650-340-7200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAASF",
            "identifier": "6230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eldorado Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eco Center for Education and Wellness
• Jeffrey Edgerton
• Edgewood Center for Children and Families
• Melissa Arabian Edling
• Jacatherine Sarean Edmond
• Ann G Edwards, MFT
• Kassandra Bennett Edwards, LCSW, MFT
• Lynn Marie Edwards, D.D.S.
• Thomas Anthony Ryle Egan
• Rayana Egea, LMFT

• Ambulatory Surgical Clinic/Center in San Mateo, CA
• Providers in San Mateo, 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 Nov 22, 2017; 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.