Organization Active NPI

Carmel Valley Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • San Diego, CA
National Provider Identifier
1417399411
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A82484 Issued in CA
Legal business name
CARMEL VALLEY SURGICAL CENTER LLC
Practice address
11943 El Camino Real
Suite 100
San Diego, CA 92130-2597
Phone
(858) 259-3223
Fax
(858) 259-3221
NPI assigned
Jul 19, 2013
Organization subpart
Yes
Parent organization
AMIR M. KARAM INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Authorized official

Name
Amir M Karam, M.D.NPI 1326079765
Title
Ownder
Phone
(858) 259-3223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A82484 CA Primary

Addresses

Primary practice location

11943 El Camino Real
Suite 100
San Diego, CA 92130-2597

Mailing address

11943 El Camino Real
Suite 100
San Diego, CA 92130-2597
Phone (858) 259-3223

National Provider Directory

National Provider Directory
Part of
Amir M Karam Inc

Locations

11943 El Camino Real
#100A
San Diego, CA 92130
Phone (858) 258-3223

11943 El Camino Real
Ste 100
San Diego, CA 92130
Phone (858) 259-3223

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": "1374192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374192000000",
    "number": "1417399411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11943 EL CAMINO REAL",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302597",
            "telephone_number": "858-259-3223",
            "fax_number": "858-259-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11943 EL CAMINO REAL",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302597",
            "telephone_number": "858-259-3223",
            "fax_number": "858-259-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEL VALLEY SURGICAL CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMIR M. KARAM INC.",
        "enumeration_date": "2013-07-19",
        "last_updated": "2013-07-19",
        "status": "A",
        "authorized_official_last_name": "KARAM",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "858-259-3223",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A82484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; 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.