Delta Bay Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

10BUS-00143 Issued in CA

Legal business name

DELTA BAY SURGERY CENTER LLC

Practice address

1208 E 5TH St
Suite 200
Benicia, CA 94510-3502

Phone

(707) 745-5500

Fax

(707) 745-5501

NPI assigned

Feb 23, 2010

Last updated

Jan 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Arun Anand, M.D.NPI 1578521050

Title

President

Phone

(707) 748-7248

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720300312. Details of each certification follow.

• CCN 05C0001959 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 05C0001959

Legal name

Delta Bay Surgery Center

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

May 19, 2011

Last certification

May 28, 2015

Ownership / control type

Proprietary

Facility address

1208 East Fifth Street, Suite 200
Benicia, CA 94510

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arun Anand, MD

  • Pain Medicine (Anesthesiology) Physician
  • Benicia, CA
  • NPI 1578521050
  NPD (past) Authorized official

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1720300312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5668",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945961668",
            "telephone_number": "707-745-3112",
            "fax_number": "707-745-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E 5TH ST",
            "address_2": "SUITE 200",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103502",
            "telephone_number": "707-745-5500",
            "fax_number": "707-745-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA BAY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "ANAND",
        "authorized_official_first_name": "ARUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-748-7248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "10BUS-00143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Benicia, CA
• Providers in Benicia, 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 Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.