NPIMap

Organization Active NPI

Targ Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Palo Alto, CA
National Provider Identifier
1457707473
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
FNP32185 Issued in CA
Legal business name
TARG SURGERY CENTER
Practice address
800 E Greenwich PL
Palo Alto, CA 94303-3416
Phone
(650) 814-3025
Fax
(650) 856-7909
NPI assigned
May 9, 2016
Last updated
May 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Authorized official

Name
Dr. Alexander Gary Targ, M.D.NPI 1902962111
Title
Owner
Phone
(650) 814-3025

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X MGA56 CA
Ambulatory Surgical Clinic/Center 261QA1903X FNP32185 CA Primary

Addresses

Primary practice location

800 E Greenwich PL
Palo Alto, CA 94303-3416

Mailing address

800 E Greenwich PL
Palo Alto, CA 94303-3416
Phone (650) 814-3025

Other identifiers 2

IdentifierTypeStateIssuer
FNP32185OtherCAMEDICAL BOARD OF CA FICTITIOUS NAME PERMIT
MGA56OtherCADENTAL BOARD OF CA GENERAL ANESTHESIA PERMIT

National Provider Directory

National Provider Directory

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": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1457707473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E GREENWICH PL",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033416",
            "telephone_number": "650-814-3025",
            "fax_number": "650-856-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E GREENWICH PL",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033416",
            "telephone_number": "650-814-3025",
            "fax_number": "650-856-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARG SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "TARG",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-814-3025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "MGA56",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "FNP32185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CA FICTITIOUS NAME PERMIT",
            "identifier": "FNP32185",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CA GENERAL ANESTHESIA PERMIT",
            "identifier": "MGA56",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.