Organization Active NPI

Precision Surgicenter LLC

  • Ambulatory Surgical Clinic/Center
  • Fremont, CA
National Provider Identifier
1477792828
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PRECISION SURGICENTER LLC
Practice address
39180 Farwell Dr
Suite 100
Fremont, CA 94538-1052
Phone
(510) 494-0800
Fax
(510) 494-0804
NPI assigned
Feb 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Authorized official

Name
Basil R Besh, M.D.NPI 1316040876
Title
Managing Partner
Phone
(510) 494-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

39180 Farwell Dr
Suite 100
Fremont, CA 94538-1052

Mailing address

39180 Farwell Dr
Suite 100
Fremont, CA 94538-1052
Phone (510) 494-0800

Other identifiers 1

IdentifierTypeStateIssuer
F1731OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090519000024 CA Part B Supplier - Ambulatory Surgical Center 4284783481 Practice locations: Fremont, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Precision Surgicenter LLCCCN 05C0001731
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1477792828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39180 FARWELL DR",
            "address_2": "SUITE 100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381052",
            "telephone_number": "510-494-0800",
            "fax_number": "510-494-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39180 FARWELL DR",
            "address_2": "SUITE 100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381052",
            "telephone_number": "510-494-0800",
            "fax_number": "510-494-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION SURGICENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "BESH",
        "authorized_official_first_name": "BASIL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "510-494-0800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "F1731",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.