Organization Active NPI

A&M Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Colton, CA
National Provider Identifier
1881098101
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
A&M SURGERY CENTER, INC.
Practice address
1850 E Washington St
Colton, CA 92324-4621
Phone
(909) 887-2991
NPI assigned
Oct 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Dr. Andrew W Hesseltine, M.D.NPI 1467438036
Title
Ceo / Medical Director
Phone
(909) 887-2991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1850 E Washington St
Colton, CA 92324-4621

Mailing address

1850 E Washington St
Colton, CA 92324-4621
Phone (909) 835-4278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150902001872 CA Part B Supplier - Ambulatory Surgical Center 2163738337 Practice locations: Colton, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
A M Surgery CenterCCN 05C0002182
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2076220A & M Surgery Center Inc1850 E Washington St, Colton, CA 92324Certificate of waiverJun 29, 2027

National Provider Directory

National Provider Directory

Locations

1850 E Washington St
Ste A
Colton, CA 92324
Phone (909) 835-4265

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": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1881098101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 E WASHINGTON ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244621",
            "telephone_number": "909-835-4278",
            "fax_number": "909-906-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 E WASHINGTON ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244621",
            "telephone_number": "909-887-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&M SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "HESSELTINE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO / MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-887-2991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.