Ucsd Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

UCSD AMBULATORY SURGERY CENTER, LLC

Doing business as

University Ambulatory Surgery Center

Practice address

8929 University Center LN
Suite 103
San Diego, CA 92122-1006

Phone

(858) 554-0220

NPI assigned

Nov 12, 2007

Last updated

Nov 4, 2016By 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

Dr. Paul C Murphy, M.D.

Title

Owner and Board Member

Phone

(858) 554-0220

Specialties & licenses 1

Addresses

Other names 1

• University Ambulatory Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Ucsd Ambulatory Surgery Center, LLC

  dba Outpatient Surgery Center of La Jolla

  • Ambulatory Surgical Clinic/Center
  • La Jolla, CA
  • NPI 1225648470

  2163597105

  Same PAC ID

Listed as

Ucsd Ambulatory Surgery Center LLCCCN 05C0001207

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Tax ID family

Ucsd Ambulatory Surgery Ctr2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ucsd Ambulatory Surgery Center, LLC

  dba Outpatient Surgery Center of La Jolla

  • Ambulatory Surgical Clinic/Center
  • La Jolla, CA
  • NPI 1225648470
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Ucsd Ambulatory Surgery Center, LLC

  dba Outpatient Surgery Center of La Jolla

  • Ambulatory Surgical Clinic/Center
  • La Jolla, CA
  • NPI 1225648470
  NPPES parent name

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1609056290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8929 UNIVERSITY CENTER LN",
            "address_2": "SUITE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8929 UNIVERSITY CENTER LN",
            "address_2": "SUITE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221006",
            "telephone_number": "858-554-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSD AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER AND BOARD MEMBER",
        "authorized_official_telephone_number": "858-554-0220",
        "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": [
        {
            "organization_name": "University Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Ucich, CMT
• Megan Suyematsu Ucich, NP
• Lindsey Ucki, RD
• Shannon Uclaray
• Ucsd
• Ucsd Department of Orthopaedic Surgery
• Ucsd Department of Pediatrics
• Ucsd Dept. of Psychiatry
• Ucsd Dept. of Psychiatry
• Ucsd Eating Disorder Treatment and Research Center

• Ambulatory Surgical Clinic/Center in San Diego, CA
• Providers in San Diego, 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 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.