Elite Surgical Services

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ELITE SURGICAL SERVICES

Practice address

1860 Mowry Ave
Ste.#401
Fremont, CA 94538-1730

Phone

(510) 556-1000

Fax

(510) 878-4444

NPI assigned

Jan 7, 2015

Organization subpart

No

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

Authorized official

Name

Nosrat Khajavi, M.D.NPI 1336114370

Title

President/ Sole Owner

Phone

(510) 556-1000

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nosrat Khajavi, D.O.

  • Anesthesiology Physician
  • Las Cruces, NM
  • NPI 1336114370
  NPD (past) Authorized official

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1487042859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19197 GOLDEN VALLEY RD",
            "address_2": "ST.#444",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913871428",
            "telephone_number": "510-556-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 MOWRY AVE",
            "address_2": "STE.#401",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381730",
            "telephone_number": "510-556-1000",
            "fax_number": "510-878-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SURGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "KHAJAVI",
        "authorized_official_first_name": "NOSRAT",
        "authorized_official_title_or_position": "PRESIDENT/ SOLE OWNER",
        "authorized_official_telephone_number": "510-556-1000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Elgohary
• Eli Acupuncture Inc.
• Christine Nguyen Elias, M.D.
• Ana M. Elisei, MD
• Elite Medical Services
• Benjamin G. Ellenbogen, MD
• Dale Allan Elleson, DO
• Laurence Steven Ellner, DPM
• Allison Elwood, LMFT
• Samantha Nicole Embrick, MSW, LCSW

• Ambulatory Surgical Clinic/Center in Fremont, CA
• Providers in Fremont, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.