Advanced Surgery Medical Center, LLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

Legal business name

ADVANCED SURGERY MEDICAL CENTER, LLC

Practice address

989 Story Rd
8066
San Jose, CA 95122-4603

Phone

(408) 998-8109

Fax

(408) 295-1205

NPI assigned

Oct 2, 2006

Last updated

Jun 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Randal T Pham, M.D.NPI 1275626897

Title

Medical Director

Phone

(408) 998-8109

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Advanced Surgery Medical Center LLCCCN 05C0001769

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randal Tanh Pham, M.D.

  • Specialist
  • San Jose, CA
  • NPI 1275626897
  NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1821181488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 STORY RD",
            "address_2": "8066",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951224603",
            "telephone_number": "408-998-8109",
            "fax_number": "408-295-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 STORY RD",
            "address_2": "8066",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951224603",
            "telephone_number": "408-998-8109",
            "fax_number": "408-295-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGERY MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "408-998-8109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Priti Devi Advani, D.D.S

• Ophthalmologic Surgery Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Ophthalmologic Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.