Hacienda Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HACIENDA SURGERY CENTER, LLC

Practice address

4626 Willow Rd
Pleasanton, CA 94588-2710

Phone

(805) 679-7557

NPI assigned

Feb 20, 2008

Organization subpart

No

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

Authorized official

Name

David W Odell

Title

Manager

Phone

(805) 679-7557

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kenneth G Venos, M.D.

  • Orthopaedic Surgery Physician
  • Pleasanton, CA
  • NPI 1154326288
  NPD (past)

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1780853044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 DE LA VINA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053362",
            "telephone_number": "805-679-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 WILLOW RD",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882710",
            "telephone_number": "805-679-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACIENDA SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "ODELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "805-679-7557"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tom Ha, D.M.D
• Kathryn M Haaland
• Hacienda Dental, Inc
• Hacienda Outpatient Surgery Center, LLC
• Hacienda Park Optometry, Inc
• Nazila Haghdan
• Haig Minassian MD a Professional Corporation
• Semina Hajra, M.D
• Michelle Lyn Haley, PH.D.
• Jessica R Hall

• Ambulatory Surgical Clinic/Center in Pleasanton, CA
• Providers in Pleasanton, 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 20, 2008; 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.