Organization Active NPI

Surgical Assist of Northern California

  • Surgery Physician
  • Danville, CA
National Provider Identifier
1811284870
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A82314 Issued in CA
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

Updated by the provider on Dec 7, 2012

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X A82314 CA Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X A065099 CA
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.