Active NPI
Aspen Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ASPEN SURGERY CENTER, LLC
- Practice address
- 133 La Casa Via Ste 150
Walnut Creek, CA 94598-3005 - Phone
- (925) 210-8400
- Fax
- (925) 947-3258
- NPI assigned
- Jul 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Boyd Baldock
- Title
- Officer and Authorized Official
- Phone
- (615) 234-5954
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
133 La Casa Via Ste 150
Walnut Creek, CA 94598-3005
Mailing address
133 La Casa Via
Walnut Creek, CA 94598
Phone (925) 947-3282
Other practice location 1
100 N Wiget Ln Ste 110
Walnut Creek, CA 94598-5909
Phone (925) 949-8784
Other names 1
- Aspen Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080524000021 | CA | Part B Supplier - Ambulatory Surgical Center | 8325117823 | Practice locations: Walnut Creek, CA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Aspen Surgery Center LLC Dba Aspen Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1076006 | Aspen Surgery Center, LLC | Certificate of waiver | Nov 1, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
133 La Casa Via
Ste 150
Walnut Creek, CA 94598
Phone (925) 210-8400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Walnut Creek, CA
- NPI 1124040274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677110400000",
"number": "1710177795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 LA CASA VIA",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "94598",
"telephone_number": "925-947-3282",
"fax_number": "925-947-3258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 LA CASA VIA STE 150",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983005",
"telephone_number": "925-210-8400",
"fax_number": "925-947-3258"
}
],
"practiceLocations": [
{
"address_1": "100 N Wiget Ln Ste 110",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "945985909",
"country_code": "US",
"telephone_number": "925-949-8784",
"fax_number": "925-949-8762",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ASPEN SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-26",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A",
"authorized_official_last_name": "BALDOCK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "BOYD",
"authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-234-5954"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aspen Surgery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Aspen Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.