Fremont ASC Partners, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FREMONT ASC PARTNERS, LLC

Doing business as

Stevenson Surgery Center

Practice address

2675 Stevenson Blvd
Second Floor
Fremont, CA 94538-2317

Phone

(510) 791-5200

Fax

(510) 791-5201

NPI assigned

Apr 27, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Mohammad Gharaati

Title

Administrator

Phone

(510) 791-5200

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Stevenson Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Ambulatory surgical center certification: CCN 05C0001984

Legal name

STEVENSON SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Feb 28, 2012

Last certification

May 24, 2016

Ownership / control type

Proprietary

Facility address

2675 Stevenson Boulevard Suite B 2ND Floor
Fremont, CA 94538

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Nguyen Ky, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Jose, CA
  • NPI 1740392208
  NPD
• Hardeep S Reddick, PA-C

  • Medical Physician Assistant
  • Stanford, CA
  • NPI 1790940104
  NPD (past)

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1548551377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 STEVENSON BLVD",
            "address_2": "SECOND FLOOR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382317",
            "telephone_number": "510-791-5200",
            "fax_number": "510-791-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 STEVENSON BLVD",
            "address_2": "SECOND FLOOR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382317",
            "telephone_number": "510-791-5200",
            "fax_number": "510-791-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT ASC PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "GHARAATI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-791-5200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAHC CERTIFICATION",
            "identifier": "95304",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "F1984",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stevenson Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• David R Freiheit, MD
• Fremont Ambulatory Surgery Center, L.P.
• Fremont Ambulatory Surgery Center, LP
• Fremont Artificial Limb & Brace, Inc.
• Fremont Dental Care
• Fremont Dental Implant Care
• Fremont Dermatology Medical Office
• Fremont Eat Nose & Throat Med Group Inc
• Fremont Family & Sports Chiropractic

• 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 Nov 19, 2012; 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.