Organization Active NPI

Zazen Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Katy, TX
National Provider Identifier
1639668080
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ZAZEN SURGERY CENTER, LLC
Practice address
25230 Kingsland Blvd
Katy, TX 77494-3256
Phone
(818) 692-3011
Fax
(855) 849-3094
NPI assigned
May 1, 2018
Last updated
Dec 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Authorized official

Name
Dr. Vivian Asamoah, MD
Title
Chairman
Phone
(281) 869-3011

Specialties & licenses 1

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

Addresses

Primary practice location

25230 Kingsland Blvd
Katy, TX 77494-3256

Mailing address

25230 Kingsland Blvd
Katy, TX 77494-3256
Phone (818) 693-0112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180717002325 TX Part B Supplier - Ambulatory Surgical Center 3375890718 Practice locations: Katy, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Zazen Surgery Center LLCCCN 45C0001676
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2150575Zazen Surgery Center, LLC25230 Kingsland Boulevard, Katy, TX 77494Certificate of waiverJun 26, 2028

National Provider Directory

National Provider Directory

Locations

25230 Kingsland Blvd
Katy, TX 77494
Phone (281) 869-3011

25230 Kingsland Blvd
Ste 103
Katy, TX 77494
Phone (281) 869-3011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1639668080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25230 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943256",
            "telephone_number": "818-693-0112",
            "fax_number": "855-849-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25230 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943256",
            "telephone_number": "818-692-3011",
            "fax_number": "855-849-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAZEN SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "ASAMOAH",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "281-869-3011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.