Northbay Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTHBAY SURGERY CENTER

Practice address

575 Sir Francis Drake Blvd
Suite # 3
Greenbrae, CA 94904-2306

Phone

(415) 925-8900

Fax

(415) 925-8908

NPI assigned

Aug 5, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Glen Kee Lau, M.D.

Title

Owner

Phone

(415) 925-8900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1770714982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 SIR FRANCIS DRAKE BLVD",
            "address_2": "SUITE # 3",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042306",
            "telephone_number": "415-925-8900",
            "fax_number": "415-925-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 SIR FRANCIS DRAKE BLVD",
            "address_2": "SUITE # 3",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042306",
            "telephone_number": "415-925-8900",
            "fax_number": "415-925-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHBAY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "KEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-925-8900",
        "authorized_official_name_prefix": "Mr.",
        "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": []
}

• Laura O Nichols, D.D.S, M.S.
• Julie Ilene Nicholson, LMFT
• Nona M Cunningham MD Inc
• Marisela Marisa Noorhasan, M.D.
• North Bay Neurologic Medical Associates, Inc.
• Novacare Outpatient Rehabilitation of California Inc
• Dennis Eugene O'Connell, PA-C
• Michael Jerome O'Neill, LCSW
• Douglas Obrien
• Lauren Oemcke, RN, CDCES

• Ambulatory Surgical Clinic/Center in Greenbrae, CA
• Providers in Greenbrae, 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 5, 2009; 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.