St Joseph Surgery & Laser Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

060000429 Issued in CA

Legal business name

ST JOSEPH SURGERY & LASER CENTER INC

Practice address

436 S Glassell St
Orange, CA 92866-1906

Phone

(714) 633-9566

Fax

(714) 633-7470

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Ruper

Title

Ceo

Phone

(714) 633-6060

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SAINT MARY AND JOSEPH SURGERY AND LASER CENTER, INC Doing business as

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1679528772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 S GLASSELL ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928661906",
            "telephone_number": "714-633-9566",
            "fax_number": "714-633-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 S GLASSELL ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928661906",
            "telephone_number": "714-633-9566",
            "fax_number": "714-633-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH SURGERY & LASER CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "RUPER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-633-6060",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "060000429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR70020F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZH4044Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAINT MARY AND JOSEPH SURGERY AND LASER CENTER, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Jeanne de Lestonnac Free Clinic, Inc.
• St Joseph Home Care Private Duty
• St Joseph Hospital of Orange
• St Joseph Hospital of Orange
• St Joseph Hospital of Orange
• Alyssa St. John Farrell
• St. Joseph Hospital of Orange
• St. Joseph Hospital of Orange
• St. Joseph Hospital of Orange
• St. Joseph Hospital of Orange

• Ambulatory Surgical Clinic/Center in Orange, CA
• Providers in Orange, 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 Oct 13, 2008; 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.