Active NPI
Surgical Assist of Northern California
- Surgery Physician
- Danville, CA
National Provider Identifier
1811284870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A82314
- Legal business name
- SURGICAL ASSIST OF NORTHERN CALIFORNIA
- Practice address
- 53 Saint Mark CT
Danville, CA 94526-5326 - Phone
- (925) 362-0695
- Fax
- (925) 362-0695
- NPI assigned
- Jun 28, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristi Leer
- Title
- Office Manager
- Phone
- (925) 362-0695
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A82314 | CA | Primary |
| Surgery Physician | 208600000X | A065099 | CA | |
| Surgical Physician Assistant | 363AS0400X | OPA16571 | CA |
Addresses
Primary practice location
53 Saint Mark CT
Danville, CA 94526-5326
Mailing address
PO Box 320896
Los Gatos, CA 95032-0114
Phone (925) 362-0695
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354838400000",
"number": "1811284870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 320896",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950320114",
"telephone_number": "925-362-0695",
"fax_number": "925-362-0695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 SAINT MARK CT",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945265326",
"telephone_number": "925-362-0695",
"fax_number": "925-362-0695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL ASSIST OF NORTHERN CALIFORNIA",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-28",
"last_updated": "2012-12-07",
"status": "A",
"authorized_official_last_name": "LEER",
"authorized_official_first_name": "KRISTI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "925-362-0695"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "A82314",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "A065099",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "OPA16571",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.