Madera Ambulatory Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MADERA AMBULATORY SURGERY CENTER

Doing business as

Madera Ambulatory Surgery Center

Practice address

1015 W Yosemite Ave
Madera, CA 93637-4581

Phone

(559) 907-4002

Fax

(559) 661-1556

NPI assigned

Jan 11, 2024

Last updated

Jan 16, 2025By 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

Mr. Arjun Samran

Title

Vice President / Treasuer

Phone

(559) 871-2908

Specialties & licenses 1

Addresses

Other names 1

• MADERA AMBULATORY SURGERY CENTER Doing business as

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1578334249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 W YOSEMITE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374581",
            "telephone_number": "559-907-4002",
            "fax_number": "559-661-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W YOSEMITE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374581",
            "telephone_number": "559-907-4002",
            "fax_number": "559-661-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADERA AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "SAMRAN",
        "authorized_official_first_name": "ARJUN",
        "authorized_official_title_or_position": "VICE PRESIDENT / TREASUER",
        "authorized_official_telephone_number": "559-871-2908",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MADERA AMBULATORY SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miriam Paola Maciel
• Randy James Mack, MPT
• Duncan Mackay, MD, MBA
• Charles Joseph Mackey, PA-C
• Maria Madeira
• Madera Anesthesia Assoc Med GRP
• Madera Anesthesia Consultants, Inc
• Madera Community Health Center, Inc.
• Madera Community Hospital
• Madera Community Hospital

• Ambulatory Surgical Clinic/Center in Madera, CA
• Providers in Madera, 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 Jan 16, 2025; 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.