Sdosc, LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

090000114 Issued in CA

Legal business name

SDOSC, LP

Doing business as

San Diego Outpatient Ambulatory Surgical Center

Practice address

3939 Ruffin Rd Ste 101
San Diego, CA 92123-1804

Phone

(619) 299-9530

Fax

(619) 299-3259

NPI assigned

Mar 31, 2006

Last updated

Mar 9, 2021By 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

Bruce V. Foerster, M.D.

Title

Owner/Medical Director

Phone

(619) 299-9530

Specialties & licenses 1

Addresses

Other names 1

• San Diego Outpatient Ambulatory Surgical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Sdosc LPCCN 05C0001012

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

Locations

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.

• Mathew S Isho, MD

  • Colon & Rectal Surgery Physician
  • San Diego, CA
  • NPI 1841235645
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1942261599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 RUFFIN RD STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231804",
            "telephone_number": "619-299-9530",
            "fax_number": "619-299-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 RUFFIN RD STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231804",
            "telephone_number": "619-299-9530",
            "fax_number": "619-299-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDOSC, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "FOERSTER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "619-299-9530",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "090000114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Outpatient Ambulatory Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Diego Outpatient Ambulatory Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in San Diego, CA
• Providers in San Diego, 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 Mar 9, 2021; 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.