Organization Active NPI

San Mateo Surgery Center

  • Ambulatory Surgical Clinic/Center
  • San Mateo, CA
National Provider Identifier
1598848632
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SAN MATEO SURGERY CENTER
Practice address
66 Bovet Rd
Suite 101-103
San Mateo, CA 94402-3125
Phone
(650) 570-0529
Fax
(650) 570-0500
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Authorized official

Name
Dr. Robert R. Brink, M.D.
Title
Owner
Phone
(650) 570-0529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

66 Bovet Rd
Suite 101-103
San Mateo, CA 94402-3125

Mailing address

66 Bovet Rd # 101-103
San Mateo, CA 94402-3125
Phone (650) 570-0529

National Provider Directory

National Provider Directory

Locations

66 Bovet Rd
Ste 103
San Mateo, CA 94402
Phone (650) 570-0500

66 Bovet Rd
#101103
San Mateo, CA 94402

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1598848632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BOVET RD # 101-103",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023125",
            "telephone_number": "650-570-0529",
            "fax_number": "650-570-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BOVET RD",
            "address_2": "SUITE 101-103",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023125",
            "telephone_number": "650-570-0529",
            "fax_number": "650-570-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MATEO SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "BRINK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-570-0529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.