Austin SFSC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

AUSTIN SFSC, LLC

Practice address

1545 Pine St Apt 109
San Francisco, CA 94109-4682

Phone

(415) 371-9928

NPI assigned

May 11, 2021

Last updated

May 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Lee, MDNPI 1487635298

Title

Chairman, Governing Body

Phone

(415) 933-8330

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437733896. Details of each certification follow.

• CCN 55C0001140 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 55C0001140

Legal name

Austin SFSC, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Dec 23, 2022

Last certification

Dec 23, 2022

Ownership / control type

Proprietary

Facility address

1545 Pine Street, Apt 109
San Francisco, CA 94109

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Kyung Chul Lee, MD

  • Plastic and Reconstructive Surgery Physician
  • San Francisco, CA
  • NPI 1487635298
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1437733896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 PINE ST APT 109",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 PINE ST APT 109",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094682",
            "telephone_number": "415-371-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN SFSC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CHAIRMAN, GOVERNING BODY",
        "authorized_official_telephone_number": "415-933-8330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaun Aurea
• Aurora Alva DMD Dental Corporation
• Aurora Residential Care Home Inc
• Arlene E. Ausich, MSW, ASW
• Austin Gregory
• Andrea Hui Austin, M.D.
• Brenda A. Austin, PHD
• Callie Austin, RD
• Christopher William Austin
• Courtney Jessica Austin

• Ambulatory Surgical Clinic/Center in San Francisco, CA
• Providers in San Francisco, 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 25, 2021; 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.