East Bay Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EAST BAY AMBULATORY SURGERY CENTER, LLC

Practice address

1860 Mowry Ave
Suite 401 / 402
Fremont, CA 94538-1730

Phone

(510) 713-0700

Fax

(510) 713-0701

NPI assigned

Sep 1, 2011

Last updated

Sep 1, 2011By 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

Ms. Cindy Omidi

Title

Executive Director

Phone

(310) 714-1888

Specialties & licenses 1

Addresses

Tax ID family

East Bay Ambulatory Surgery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• East Bay Ambulatory Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Fremont, CA
  • NPI 1700175189
  NPD tax ID

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1902187099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD",
            "address_2": "SUITE 106",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111838",
            "telephone_number": "310-714-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 MOWRY AVE",
            "address_2": "SUITE 401 / 402",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381730",
            "telephone_number": "510-713-0700",
            "fax_number": "510-713-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "OMIDI",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-714-1888",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eager Communicators, Inc.
• Roshni Easley
• East Bay Agency for Children
• East Bay Agency for Children
• East Bay Ambulatory Surgery Center LLC
• East Bay Cardiology Inc
• East Bay Dermatology Medical Group Inc (Center for Dermatology Cosmetic & Laser Surgery)
• East Bay Eye Centers Medical Corporation (Mission Valley Surgery Center)
• East Bay Eyecare Professionals, Inc.
• East Bay Hand & Plastic Surgery Center Inc.

• Ambulatory Surgical Clinic/Center in Fremont, CA
• Providers in Fremont, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.