East Bay Ambulatory Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A84519 Issued in CA

Legal business name

EAST BAY AMBULATORY SURGERY CENTER LLC

Practice address

1860 Mowry Ave
Ste 401 & 402
Fremont, CA 94538-1730

Phone

(424) 249-3783

NPI assigned

Apr 6, 2011

Organization subpart

No

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

Authorized official

Name

Carol Castillo

Title

Administrator

Phone

(424) 249-3783

Specialties & licenses 2

Addresses

Tax ID family

East Bay Ambulatory Surgery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• East Bay Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Fremont, CA
  • NPI 1902187099
  NPD tax ID

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1700175189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9190 W OLYMPIC BLVD",
            "address_2": "STE 139",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123540",
            "telephone_number": "414-249-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 MOWRY AVE",
            "address_2": "STE 401 & 402",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381730",
            "telephone_number": "424-249-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "424-249-3783"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "A84519",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A84519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E Paul Reid MD PC
• Eager Communicators, Inc.
• Roshni Easley
• East Bay Agency for Children
• East Bay Agency for Children
• East Bay Ambulatory Surgery Center, LLC
• East Bay Cardiology Inc
• East Bay Dermatology Medical Group Inc (Center for Dermatology Cosmetic & Laser Surgery)
• East Bay Eye Centers Medical Corporation (Mission Valley Surgery Center)
• East Bay Eyecare Professionals, Inc.

• Ambulatory Surgical Clinic/Center in Fremont, CA
• Providers in Fremont, 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 Apr 6, 2011; 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.