Organization Active NPI

Union Square Surgery Center, PC

  • Ambulatory Surgical Clinic/Center
  • San Francisco, CA
National Provider Identifier
1407404379
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
UNION SQUARE SURGERY CENTER, PC
Practice address
421 Post St FL 14
San Francisco, CA 94102-1501
Phone
(415) 767-1919
Fax
(415) 941-3119
NPI assigned
Sep 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Authorized official

Name
Dr. John Ademola, PHD
Title
Ceo
Phone
(415) 845-4638

Specialties & licenses 1

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

Addresses

Primary practice location

421 Post St FL 14
San Francisco, CA 94102-1501

Mailing address

421 Post St FL 14
San Francisco, CA 94102-1501
Phone (415) 767-1919

National Provider Directory

National Provider Directory

Locations

421 Post St
Fl 14
San Francisco, CA 94102
Phone (415) 767-1919

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1407404379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 POST ST FL 14",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021501",
            "telephone_number": "415-767-1919",
            "fax_number": "415-941-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 POST ST FL 14",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021501",
            "telephone_number": "415-767-1919",
            "fax_number": "415-941-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION SQUARE SURGERY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "ADEMOLA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-845-4638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.