Advanced Interventional Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ADVANCED INTERVENTIONAL SURGICAL CENTER

Practice address

3077 Stevenson Blvd
Fremont, CA 94538

Phone

(510) 796-0222

NPI assigned

Sep 20, 2017

Last updated

Aug 8, 2018By 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. Ashit Jain, M.D.NPI 1154344919

Title

Authorized Official

Phone

(510) 796-0222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Advanced Interventional Surgical Center

  • Interventional Cardiology Physician
  • Fremont, CA
  • NPI 1215452297

  1557615507

  Same PAC ID

Listed as

Advanced Interventional Surgical CenterCCN 05C0002217

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Advanced Interventional Surgical Center2 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.

• Advanced Interventional Surgical Center

  • Interventional Cardiology Physician
  • Fremont, CA
  • NPI 1215452297
  NPD tax ID

Locations

Practitioners 6

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.

• Ashit Jain, M.D.

  • Cardiovascular Disease Physician
  • Fremont, CA
  • NPI 1154344919
  Medicare reassignment NPD Authorized official
• Haramrit Hansra, M.D..

  • Diagnostic Radiology Physician
  • Fremont, CA
  • NPI 1841695889
  Medicare reassignment NPD
• Aditya Jain, MD

  • Cardiovascular Disease Physician
  • San Leandro, CA
  • NPI 1821102641
  Medicare reassignment NPD
• Thirupathi K Reddy, MD

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1992808992
  Medicare reassignment NPD
• Rakesh Safaya, MD

  • Vascular Surgery Physician
  • Fremont, CA
  • NPI 1144337866
  Medicare reassignment NPD
• David Rodolfo Soto, MD

  • Vascular & Interventional Radiology Physician
  • Hayward, CA
  • NPI 1386885382
  NPD

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1912416199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MOWRY AVENUE",
            "address_2": "SUITE 300",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381626",
            "telephone_number": "510-796-0222",
            "fax_number": "510-796-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3077 STEVENSON BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-796-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INTERVENTIONAL SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "ASHIT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "510-796-0222",
        "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": []
}

• Jennifer Adams
• Julie Adams
• Trevor Glenn Addison, ATC
• Adom Home Care, Inc.
• Advanced Interventional Surgical Center
• Advanced Multi Specialty Medical Group (As Soon As Possible Medical Center)
• Advanced Rehab Mobility
• Advantage in-Home Senior Care, Inc. (Comfort Keepers)
• Aegle Care Services LLC (Home Helpers Home Care)
• Wfah Afaneh

• 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 Aug 8, 2018; 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.