San Mateo Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SAN MATEO SURGERY CENTER LLC

Practice address

66 Bovet Rd
Suite 103
San Mateo, CA 94402-3125

Phone

(650) 570-0529

NPI assigned

Mar 25, 2008

Organization subpart

No

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

Authorized official

Name

Mark Sontag, MD

Title

Owner

Phone

(650) 570-0529

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

San Mateo Surgery Center LLCCCN 05C0001386

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

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

• Jeffrey M Schubiner, M.D.

  • Orthopaedic Surgery Physician
  • Burlingame, CA
  • NPI 1336152057
  NPD (past)

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1750553376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BOVET RD",
            "address_2": "SUITE 103",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023125",
            "telephone_number": "650-570-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BOVET RD",
            "address_2": "SUITE 103",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023125",
            "telephone_number": "650-570-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MATEO SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "SONTAG",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-570-0529",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Mateo Physical Therapy Center
• San Mateo Psychological Services
• San Mateo Rheumatology Inc.
• San Mateo Spine Center a Medical Corporation
• San Mateo Surgery Center
• San Mateo Union High School District
• San Mateo-Foster City School District
• Viridiana G. Sanchez Bueno
• Jasmin Sanchez Hernandez
• Jeanette Sanchez-Luis

• Ambulatory Surgical Clinic/Center in San Mateo, CA
• Providers in San Mateo, 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 Feb 10, 2015; 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.

Verify at the official NPI Registry.