Ldac Surgery Center, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LDAC SURGERY CENTER, INC

Practice address

6153 N Thesta St
Fresno, CA 93710-5266

Phone

(559) 446-1065

Fax

(559) 436-8193

NPI assigned

May 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Eric D Ladenheim, MD

Title

President

Phone

(559) 446-1065

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1396005823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6153 N THESTA ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105266",
            "telephone_number": "559-446-1065",
            "fax_number": "559-436-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6153 N THESTA ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105266",
            "telephone_number": "559-446-1065",
            "fax_number": "559-436-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDAC SURGERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "LADENHEIM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-446-1065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOINT COMMISSION",
            "identifier": "437753",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Maria Selia Lazalde
• Lia Lazareva
• Nailea Lazarit Sosa
• Alyssa Lazaro
• Darlene Yvette Lazenby, LVN
• LDS Family Services
• Danielle Le
• Dung Kim Le
• Duong Le, M.D.
• Han Thi Ngoc Le

• Ambulatory Surgical Clinic/Center in Fresno, CA
• Providers in Fresno, 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 May 17, 2012; 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.