Shadelands Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SHADELANDS SURGERY CENTER, LLC

Practice address

100 N Wiget LN
Suite #110
Walnut Creek, CA 94598-5988

Phone

(925) 933-7100

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bradford True Prescott, M.D.NPI 1275708877

Title

Member

Phone

(925) 933-7100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Bradford True Prescott, BRADFORD PRESCOTT

  • Plastic Surgery Physician
  • Walnut Creek, CA
  • NPI 1275708877
  NPD (past) Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1710012869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N WIGET LN",
            "address_2": "SUITE #110",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985988",
            "telephone_number": "925-933-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WIGET LN",
            "address_2": "SUITE #110",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985988",
            "telephone_number": "925-933-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADELANDS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "TRUE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "925-933-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Seul, RN
• Liz Severin
• Cheri Nicole Sexton, SLP
• Shadelands Advanced Endoscopy Institute, LLC
• Shadelands Endovascular, LLC
• Lynn Shafer, M.D.
• Honai Shaghasi
• Karen M Shagrin, PHARMACIST
• Amish J Shah, M.D.
• Anjuman Jayesh Shah, MS, RDN

• Ambulatory Surgical Clinic/Center in Walnut Creek, CA
• Providers in Walnut Creek, 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 Aug 27, 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.