Active NPI
Eye Surgical Center of San Francisco LLC
- Ambulatory Surgical Clinic/Center
- San Francisco, CA
National Provider Identifier
1437274495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- EYE SURGICAL CENTER OF SAN FRANCISCO LLC
- Practice address
- 1160 Post St
San Francisco, CA 94109-5505 - Phone
- (415) 440-1100
- Fax
- (415) 440-6430
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Boyd Baldock
- Title
- Officer and Authorized Official
- Phone
- (615) 234-5954
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1160 Post St
San Francisco, CA 94109-5505
Mailing address
PO Box 393937
San Francisco, CA 94139-3937
Phone (415) 440-1100
Other names 1
- Eye Surgery Center of San Francisco
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080519000478 | CA | Part B Supplier - Ambulatory Surgical Center | 4486723392 | Practice locations: San Francisco, CA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Eye Surgery Center San Francisco
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1071573 | Eye Surgery Center of San Francisco | Certificate of waiver | Jul 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- San Francisco, CA
- NPI 1174525851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671580800000",
"number": "1437274495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 393937",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941393937",
"telephone_number": "415-440-1100",
"fax_number": "415-440-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 POST ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941095505",
"telephone_number": "415-440-1100",
"fax_number": "415-440-6430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE SURGICAL CENTER OF SAN FRANCISCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A",
"authorized_official_last_name": "BALDOCK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "BOYD",
"authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-234-5954"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eye Surgery Center of San Francisco",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.