Genesis Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GENESIS SURGICAL CENTER

Practice address

11760 Central Ave Ste 204
Chino, CA 91710-1909

Phone

(909) 902-5588

Fax

(909) 902-1013

NPI assigned

Nov 11, 2008

Last updated

Mar 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yasushi Tamura, M.D.

Title

President

Phone

(562) 237-4523

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1558515015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18351 COLIMA RD STE 408",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482791",
            "telephone_number": "909-902-5588",
            "fax_number": "909-902-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 CENTRAL AVE STE 204",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101909",
            "telephone_number": "909-902-5588",
            "fax_number": "909-902-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "TAMURA",
        "authorized_official_first_name": "YASUSHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-237-4523",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margareta M. Gavrila, DDS
• Gemmel Pharmacy of Chino
• Gerardo M General, MD
• Genesis Healthcare System
• Genesis RX Inc (Genesis Pharmacy)
• Jasmine Nicole George, NP
• Gerardo M General MD Inc
• Sarah Navarro Geronimo, R.P.T
• Monica A Ghabbour, DDS
• Chitra Raj Ghimire

• Ambulatory Surgical Clinic/Center in Chino, CA
• Providers in Chino, 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 4, 2011; 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.