Organization Active NPI

HJ Surgery Center Incorporated

  • Ambulatory Surgical Clinic/Center
  • San Leandro, CA
National Provider Identifier
1801039508
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
HJ SURGERY CENTER INCORPORATED
Practice address
13690 E 14TH St
Ste 200
San Leandro, CA 94578-2582
Phone
(510) 614-9200
Fax
(510) 614-9203
NPI assigned
Apr 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
H Darien Behravan, D.O.
Title
President
Phone
(510) 614-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X CA Primary

Addresses

Primary practice location

13690 E 14TH St
Ste 200
San Leandro, CA 94578-2582

Mailing address

13690 E 14TH St
Ste 200
San Leandro, CA 94578-2582
Phone (510) 614-9200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1801039508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13690 E 14TH ST",
            "address_2": "STE 200",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782582",
            "telephone_number": "510-614-9200",
            "fax_number": "510-614-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13690 E 14TH ST",
            "address_2": "STE 200",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782582",
            "telephone_number": "510-614-9200",
            "fax_number": "510-614-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HJ SURGERY CENTER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "BEHRAVAN",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "DARIEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-614-9200",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.