Organization Active NPI

National Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Los Gatos, CA
National Provider Identifier
1649500950
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NATIONAL AMBULATORY SURGERY CENTER, LLC
Practice address
15251 National Ave Ste 207
Los Gatos, CA 95032-2400
Phone
(408) 358-1555
Fax
(408) 358-1999
NPI assigned
Jan 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Barbara Lee Roth, REGISTERED NURSE
Title
VP of Clinical Operations
Phone
(408) 988-0105

Specialties & licenses 1

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

Addresses

Primary practice location

15251 National Ave Ste 207
Los Gatos, CA 95032-2400

Mailing address

1871 Martin Ave FL 2
Santa Clara, CA 95050-2501
Phone (408) 358-1555

Other practice location 1

4005 Mission Oaks Blvd Unit B
Camarillo, CA 93012-5156
Phone (805) 275-0200

Other practice location 2

302 W La Veta Ave Ste 100
Orange, CA 92866-2607
Phone (408) 761-5847

Other practice location 3

1125 S Beverly Dr Ste 505
Los Angeles, CA 90035-1183
Phone (424) 340-5559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100315000121 CA Part B Supplier - Ambulatory Surgical Center 7810022076 Practice locations: Los Gatos, CA
O20211014003086 CA Part B Supplier - Ambulatory Surgical Center 7810022076 Practice locations: Camarillo, CA
O20220608000685 CA Part B Supplier - Ambulatory Surgical Center 7810022076 Practice locations: Orange, CA

National Provider Directory

National Provider Directory

Locations

1871 Martin Ave
Fl 2
Santa Clara, CA 95050

Practitioners 64

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

View all 64

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
National Ambulatory Surgery Center LLCCCN 55C0001111
Medicare certification status
ActiveFrom the Provider of Services file

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
National Ambulatory Surgery Center LLCCCN 05C0001148
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
05D2047442National Ambulatory Surgery Center, LLC15251 National Ave Ste 207, Los Gatos, CA 95032Certificate of waiverSep 23, 2026
05D2263525National Ambulatory Surgery Center, LLC4005 Mission Oaks Blvd Unit B, Camarillo, CA 93012Certificate of waiverJun 28, 2028
05D2277355National Ambulatory Surgery Center LLC302 W la Veta Ave, Suite 100, Orange, CA 92866Certificate of waiverFeb 23, 2027
05D2298802National Ambulatory Surgery Center LLC1125 S Beverly Dr, Ste 505, Los Angeles, CA 90035Certificate of waiverFeb 7, 2028

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1649500950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 MARTIN AVE FL 2",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950502501",
            "telephone_number": "408-358-1555",
            "fax_number": "408-358-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15251 NATIONAL AVE STE 207",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322400",
            "telephone_number": "408-358-1555",
            "fax_number": "408-358-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4005 Mission Oaks Blvd Unit B",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930125156",
            "country_code": "US",
            "telephone_number": "805-275-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 W La Veta Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928662607",
            "country_code": "US",
            "telephone_number": "408-761-5847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 S Beverly Dr Ste 505",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900351183",
            "country_code": "US",
            "telephone_number": "424-340-5559",
            "fax_number": "424-340-5540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NATIONAL AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VP OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "408-988-0105",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.