Organization Active NPI

Fremont Ambulatory Surgery Center, L.P.

  • Ambulatory Surgical Clinic/Center
  • Fremont, CA
National Provider Identifier
1689905515
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
FREMONT AMBULATORY SURGERY CENTER, L.P.
Practice address
39350 Civic Center Dr
First Floor
Fremont, CA 94538-2343
Phone
(510) 793-4987
NPI assigned
Jan 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. John Mazoros
Title
Managing Partner
Phone
(510) 793-4987

Specialties & licenses 1

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

Addresses

Primary practice location

39350 Civic Center Dr
First Floor
Fremont, CA 94538-2343

Mailing address

39350 Civic Center Dr
First Floor
Fremont, CA 94538-2343
Phone (510) 793-4987

National Provider Directory

National Provider Directory

Locations

39350 Civic Center Dr
Fl First
Fremont, CA 94538
Phone (510) 793-4987

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689905515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39350 CIVIC CENTER DR",
            "address_2": "FIRST FLOOR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382343",
            "telephone_number": "510-793-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39350 CIVIC CENTER DR",
            "address_2": "FIRST FLOOR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382343",
            "telephone_number": "510-793-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT AMBULATORY SURGERY CENTER, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MAZOROS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "510-793-4987",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.