Organization Active NPI

Foothill Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Arcadia, CA
National Provider Identifier
1811926728
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
930001003 Issued in CA
Legal business name
FOOTHILL SURGERY CENTER, LLC
Practice address
255 E Santa Clara St Ste 110
Arcadia, CA 91006-7233
Phone
(626) 254-1800
Fax
(626) 254-1808
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Authorized official

Name
Vina Vargas
Title
Business Office Manager
Phone
(626) 254-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 930001003 CA Primary

Addresses

Primary practice location

255 E Santa Clara St Ste 110
Arcadia, CA 91006-7233

Mailing address

255 E Santa Clara St Ste 110
Arcadia, CA 91006-7233
Phone (626) 254-1800

Other identifiers 1

IdentifierTypeStateIssuer
3784536MedicaidCA

Other names 1

  • Foothill Surgery Center Doing business as

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": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1811926728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E SANTA CLARA ST STE 110",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067233",
            "telephone_number": "626-254-1800",
            "fax_number": "626-254-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E SANTA CLARA ST STE 110",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067233",
            "telephone_number": "626-254-1800",
            "fax_number": "626-254-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "VINA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "626-254-1800"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "930001003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3784536",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothill Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.