Organization Active NPI

Burlingame Surgical Center Inc

  • Ambulatory Surgical Clinic/Center
  • Burlingame, CA
National Provider Identifier
1891138301
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BURLINGAME SURGICAL CENTER INC
Practice address
1750 El Camino Real
Burlingame, CA 94010-3228
Phone
(650) 259-1480
Fax
(650) 697-7361
NPI assigned
Apr 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Authorized official

Name
Dr. John Connolly, M.D.
Title
Owner
Phone
(650) 259-1480

Specialties & licenses 1

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

Addresses

Primary practice location

1750 El Camino Real
Burlingame, CA 94010-3228

Mailing address

27087 Gratiot Ave
2ND FL
Roseville, MI 48066-2947
Phone (586) 350-2655

National Provider Directory

National Provider Directory

Locations

1750 El Camino Real
Burlingame, CA 94010
Phone (650) 259-1480

27087 Gratiot Ave
Fl 2
Roseville, MI 48066

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1891138301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27087 GRATIOT AVE",
            "address_2": "2ND FL",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662947",
            "telephone_number": "586-350-2655",
            "fax_number": "586-498-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103228",
            "telephone_number": "650-259-1480",
            "fax_number": "650-697-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGAME SURGICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-259-1480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.