Physicians Surgery Services LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

550000041 Issued in CA

Legal business name

PHYSICIANS SURGERY SERVICES LLC

Practice address

235 Oconnor Dr
San Jose, CA 95128-1624

Phone

(408) 279-0791

Fax

(408) 279-0797

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5954

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Advanced Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Ambulatory surgical center certification: CCN 05C0002222

Legal name

ADVANCED SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Dec 6, 2019

Last certification

Dec 6, 2019

Ownership / control type

Proprietary

Facility address

2039 Forest Avenue, Suite 101
San Jose, CA 95128

Listed as

Physicians Surgery Services LPCCN 05C0001723

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 3

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

• Huy Ngoc Trinh, M.D.

  • Gastroenterology Physician
  • San Jose, CA
  • NPI 1326041658
  NPD
• Danny B Luong, MD

  • Ophthalmology Physician
  • San Jose, CA
  • NPI 1386750438
  NPD (past)
• Ngoc Nguyen, M.D.

  • Ophthalmology Physician
  • San Jose, CA
  • NPI 1609935113
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1508942996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 OCONNOR DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281624",
            "telephone_number": "408-279-0791",
            "fax_number": "408-279-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 OCONNOR DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281624",
            "telephone_number": "408-279-0791",
            "fax_number": "408-279-0797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2039 Forest Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951284815",
            "country_code": "US",
            "telephone_number": "408-550-8650",
            "fax_number": "408-550-8653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICIANS SURGERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "550000041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05C0001723",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01723F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Physicians Medical Group of San Jose, Inc.
• Physicians Medical Group of San Jose, Inc.
• Physicians Medical Group of San Jose, Inc.
• Physicians Medical Group of San Jose, Inc.
• Physicians Medical Holdings
• Daniela Pi Noa, DO
• Randy D. Pi, MD
• Yage Pi
• Zhen En Piao, PHD L AC
• Desirae Pica

• Ambulatory Surgical Clinic/Center in San Jose, CA
• Providers in San Jose, 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 Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.