NPIMap

Organization Active NPI

First Choice Medical and Surgical Associates Inc

  • Orthopaedic Surgery Physician
  • Vacaville, CA
National Provider Identifier
1902211329
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A112495 Issued in CA
Legal business name
FIRST CHOICE MEDICAL AND SURGICAL ASSOCIATES INC
Practice address
200 Butcher Rd
Vacaville, CA 95687-5616
Phone
(707) 474-4433
Fax
(707) 474-4469
NPI assigned
Jun 24, 2014
Organization subpart
Yes
Parent organization
FIRST CHOICE ANESTHESIA CONSULTANTS OF NORTHERN CALIFORNIA PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Nirvana Kundu, MDNPI 1629067509
Title
President
Phone
(530) 665-3212

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X 20A9834 CA
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 20A9349 CA
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X A112495 CA Primary
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0106X C128084 CA
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X A112470 CA

Addresses

Primary practice location

200 Butcher Rd
Vacaville, CA 95687-5616

Mailing address

PO Box 34120
Reno, NV 89533-4120
Phone (775) 747-5050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140819001838 CA Part B Supplier - Clinic/Group Practice 6002033883 Receives reassigned benefits from 12 practitioners
Practice locations: Folsom, CA; Vacaville, CA; Rio Vista, CA

National Provider Directory

National Provider Directory
Part of
First Choice Anesthesia Consultants of Northern California PC

Locations

3240 Lone Tree Way
Ste 200
Antioch, CA 94509
Phone (925) 754-5254

23 W 6th St
Antioch, CA 94509

2350 Country Hills Dr
Ste B
Antioch, CA 94509
Phone (925) 528-2663

530 Plaza Dr
Ste 100
Folsom, CA 95630

500 Main St
Rio Vista, CA 94571
Phone (707) 374-3142

171 Butcher Rd
Bldg A
Vacaville, CA 95687

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1902211329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "775-747-5050",
            "fax_number": "775-747-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BUTCHER RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956875616",
            "telephone_number": "707-474-4433",
            "fax_number": "707-474-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE MEDICAL AND SURGICAL ASSOCIATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST CHOICE ANESTHESIA CONSULTANTS OF NORTHERN CALIFORNIA PC",
        "enumeration_date": "2014-06-24",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "KUNDU",
        "authorized_official_first_name": "NIRVANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-665-3212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A9834",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A9349",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A112495",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "C128084",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A112470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.