Organization Active NPI

Bayside a S C LP

  • Ambulatory Surgical Clinic/Center
  • Pasadena, TX
National Provider Identifier
1497850648
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
008204 Issued in TX
Legal business name
BAYSIDE A S C LP
Practice address
4001 Preston Ave
Ste 175
Pasadena, TX 77505-2019
Phone
(281) 487-6111
Fax
(281) 487-6090
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Jorge Rodriguez, M.D.
Title
General Patner
Phone
(281) 487-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 008204 TX Primary

Addresses

Primary practice location

4001 Preston Ave
Ste 175
Pasadena, TX 77505-2019

Mailing address

4001 Preston Ave
Ste 175
Pasadena, TX 77505-2019
Phone (281) 487-6111

Other identifiers 1

IdentifierTypeStateIssuer
167502701MedicaidTX

Other names 1

  • Bayside Surgery Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

Locations

4001 Preston Ave
Ste 175
Pasadena, TX 77505
Phone (281) 487-6111

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1497850648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 PRESTON AVE",
            "address_2": "STE 175",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775052019",
            "telephone_number": "281-487-6111",
            "fax_number": "281-487-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 PRESTON AVE",
            "address_2": "STE 175",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775052019",
            "telephone_number": "281-487-6111",
            "fax_number": "281-487-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE A S C LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "GENERAL PATNER",
        "authorized_official_telephone_number": "281-487-6111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167502701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.