Organization Active NPI

Campbell Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Campbell, CA
National Provider Identifier
1659820702
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
BH0832495 Issued in CA
Legal business name
CAMPBELL SURGERY CENTER
Practice address
3425 S Bascom Ave Ste 100
Campbell, CA 95008-7300
Phone
(408) 371-1118
Fax
(408) 371-1119
NPI assigned
Sep 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Authorized official

Name
Dr. Daryl K Hoffman, M.D.
Title
President
Phone
(408) 371-1118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X BH0832495 CA Primary

Addresses

Primary practice location

3425 S Bascom Ave Ste 100
Campbell, CA 95008-7300

Mailing address

3425 S Bascom Ave Ste 100
Campbell, CA 95008-7300
Phone (408) 371-1118

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
05D2091236Campbell Surgery Center3425 S Bascom Ave Ste 100, Campbell, CA 95008Certificate of waiverFeb 8, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1659820702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 S BASCOM AVE STE 100",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950087300",
            "telephone_number": "408-371-1118",
            "fax_number": "408-371-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 S BASCOM AVE STE 100",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950087300",
            "telephone_number": "408-371-1118",
            "fax_number": "408-371-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-371-1118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "BH0832495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.