NPIMap

Organization Active NPI

Mission Valley Outpatient Surgery Center

  • Ambulatory Surgical Clinic/Center
  • SD, CA
National Provider Identifier
1447420054
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
31922 Issued in CA
Legal business name
MISSION VALLEY OUTPATIENT SURGERY CENTER
Practice address
2878 Camino del Rio South
215
SD, CA 92108
Phone
(619) 298-2200
Fax
(619) 298-2250
NPI assigned
Mar 11, 2008
Last updated
Apr 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Dr. Frederick White Hammond, DDSNPI 1073688107
Title
Owner
Phone
(619) 298-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 31922 CA Primary

Addresses

Primary practice location

2878 Camino del Rio South
215
SD, CA 92108

Mailing address

2878 Camino del Rio South
210
SD, CA 92108
Phone (619) 298-2200

National Provider Directory

National Provider Directory

Locations

2878 Camino del Rio S
#215
San Diego, CA 92108
Phone (619) 298-2200

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1447420054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2878 CAMINO DEL RIO SOUTH",
            "address_2": "210",
            "city": "SD",
            "state": "CA",
            "postal_code": "92108",
            "telephone_number": "619-298-2200",
            "fax_number": "619-298-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2878 CAMINO DEL RIO SOUTH",
            "address_2": "215",
            "city": "SD",
            "state": "CA",
            "postal_code": "92108",
            "telephone_number": "619-298-2200",
            "fax_number": "619-298-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION VALLEY OUTPATIENT SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "WHITE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-298-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "31922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in SD, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.