Ukiah Surgery Center LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0110000321 Issued in CA

Legal business name

UKIAH SURGERY CENTER LP

Practice address

271 Observatory Ave
Ukiah, CA 95482-5757

Phone

(707) 467-2120

NPI assigned

Apr 21, 2006

Last updated

Aug 31, 2007By 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

Kimberly Wood

Title

Director

Phone

(828) 236-3027

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1568428456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 OBSERVATORY AVE",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825757",
            "telephone_number": "707-467-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 OBSERVATORY AVE",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825757",
            "telephone_number": "707-467-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UKIAH SURGERY CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "828-236-3027"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "0110000321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR 01374 F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ukiah Adventist Hosptial (Adventist Health Ukiah Valley)
• Ukiah Adventist Hosptial (Adventist Health Ukiah Valley)
• Ukiah Obstetrics and Gynecology
• Ukiah Senior Center
• Ukiah Senior Center Inc.
• Ukiah Valley Anesthesia Services
• Ukiah Valley Primary Care Medical Group, Inc
• Ukiah Valley Primary Care Medical Group, Inc
• Jason Don Ullyott, PA
• Melanie Ann Ulvila, LCSW

• Ambulatory Surgical Clinic/Center in Ukiah, CA
• Providers in Ukiah, 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 Aug 31, 2007; 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.