Evh Surgical Consultants Inc

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

EVH SURGICAL CONSULTANTS INC

Practice address

53 Cronin Dr
Santa Clara, CA 95051-6719

Phone

(408) 984-2455

Fax

(408) 984-2456

NPI assigned

Feb 11, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Damon Charles Frach, PHD

Title

Office Manager

Phone

(408) 984-2455

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1467759357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 CRONIN DR",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516719",
            "telephone_number": "408-984-2455",
            "fax_number": "408-984-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 CRONIN DR",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516719",
            "telephone_number": "408-984-2455",
            "fax_number": "408-984-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVH SURGICAL CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "FRACH",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "408-984-2455",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.