Washington Outpatient Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

140000466 Issued in CA

Legal business name

WASHINGTON OUTPATIENT SURGERY CENTER, LLC

Doing business as

Washington Outpatient Surgery Center

Practice address

2299 Mowry Avenue
1St Floor
Fremont, CA 94538

Phone

(510) 791-5374

NPI assigned

Oct 31, 2006

Last updated

Aug 9, 2022By 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

Mr. Trevin Hunt, R.N.

Title

Administrator/Director of Nursing

Phone

(510) 791-5374

Specialties & licenses 1

Addresses

Other names 1

• Washington Outpatient Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Washington Outpatient Surgery Center LLCCCN 55C0001027

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Practitioners 1

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.

• Jeffrey Scott Stuart, M.D.

  • Anesthesiology Physician
  • Nashville, TN
  • NPI 1700801123
  NPD

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1932285871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 MOWRY AVENUE",
            "address_2": "1ST FLOOR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-791-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 MOWRY AVENUE",
            "address_2": "1ST FLOOR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-791-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON OUTPATIENT SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "TREVIN",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "510-791-5374",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "140000466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Outpatient Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Washington Hospital Cardiology Dept.
• Washington Medical Group
• Washington Neurosurgical & Medical Group, Inc (n/a)
• Washington Newark Medical Group (Washington Clinic/Warm Springs)
• Washington Outpatient Rehabilitation Center, a Joint Venture (Washington Outpatient Rehabilitation Center)
• Washington Radiation Oncology Center, a Medical Group, Inc
• Washington Radiologists Medical Group, Inc.
• Washington Township Hospital Development Corporation (Washington On Wheels)
• Washington Township Hospital Development Corporation (Washington Outpatient Rehab Center)
• Washington Township Hospital Development Corporation (Washington Urgent Care)

• 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 9, 2022; 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.