Park Place Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PARK PLACE SURGERY CENTER LLC

Practice address

100 Park PL Ste 110
San Ramon, CA 94583-4460

Phone

(650) 224-3369

NPI assigned

Mar 21, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey L Wong

Title

Administrator

Phone

(650) 224-3369

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1750812897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK PL STE 110",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834460",
            "telephone_number": "650-224-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK PL STE 110",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834460",
            "telephone_number": "650-224-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLACE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "650-224-3369",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ferdinand Lauron Parawan, D.D.S.
• Brandy Paredes
• Parekh Medical Group Inc
• Shawndra Catherine Parise, M.D.
• Park Place Ambulatory Surgery Center
• Sylvia Parron
• Mariam Parvez
• Nilofar Parvin, DDS
• Shahadha Pasha
• Kenneth Joseph Passeri, D.P.M.

• Ambulatory Surgical Clinic/Center in San Ramon, CA
• Providers in San Ramon, 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 Mar 21, 2017; 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.