Organization Active NPI

El Camino Ambulatory Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Mountain View, CA
National Provider Identifier
1467717702
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
EL CAMINO AMBULATORY SURGERY CENTER LLC
Practice address
2480 Grant Rd
Mountain View, CA 94040-4333
Phone
(650) 961-1200
NPI assigned
Jul 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Carole Wilson
Title
Ceo
Phone
(650) 289-1655

Specialties & licenses 1

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

Addresses

Primary practice location

2480 Grant Rd
Mountain View, CA 94040-4333

Mailing address

375 Forest Ave
Palo Alto, CA 94301-2521

National Provider Directory

National Provider Directory

Locations

375 Forest Ave
Palo Alto, CA 94301

3190 S Bascom Ave
San Jose, CA 95124

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1467717702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 FOREST AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 GRANT RD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404333",
            "telephone_number": "650-961-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CAMINO AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-289-1655"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.