Los Altos Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LOS ALTOS SURGERY CENTER LLC

Practice address

795 Altos Oaks Dr
Los Altos, CA 94024-5428

Phone

(650) 209-5894

Fax

(650) 209-1110

NPI assigned

Aug 26, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Barbara Lee Roth, REGISTERED NURSE

Title

Vice President

Phone

(408) 761-5847

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA3 enrollments

Enrollment records 3

Ambulatory surgical center certification: CCN 55C0001162

Legal name

Los Altos Surgery Center

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Apr 2, 2024

Last certification

Feb 21, 2024

Ownership / control type

Proprietary

Facility address

1154 N Euclid St
Anaheim, CA 92801

Ambulatory surgical center certification: CCN 55C0001174

Legal name

Los Altos Surgery Center, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Dec 1, 2024

Last certification

Nov 13, 2024

Facility address

14642 Newport Ave, Suite 100
Tustin, CA 92780

Listed as

Los Altos Surgery CenterCCN 05C0001597

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1427166990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 MARTIN AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950502501",
            "telephone_number": "650-941-8888",
            "fax_number": "650-209-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 ALTOS OAKS DR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245428",
            "telephone_number": "650-209-5894",
            "fax_number": "650-209-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1154 N Euclid St",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928011955",
            "country_code": "US",
            "telephone_number": "408-761-5847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14642 Newport Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927806058",
            "country_code": "US",
            "telephone_number": "657-505-1515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOS ALTOS SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-26",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "408-761-5847",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "220000309",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "barb@baasc.com",
            "affiliation": "N",
            "endpointDescription": "barb@baasc.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1154 N Euclid St",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928011955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Los Altos Eyecare - an Optometry Corporation
• Los Altos Family Smiles
• Los Altos Optometric Group, Inc.
• Los Altos Pharmacy Inc.
• Los Altos Psychiatric Medical Group, Inc.
• Annie Low, O.D.
• Wesley Low
• Loyola Chiropractic, Dr. Bollman & Dr. Martin, Inc.
• Jamie Lucia, DC
• Lucky Stores II LLC

• Ambulatory Surgical Clinic/Center in Los Altos, CA
• Providers in Los Altos, 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 Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.