El Camino Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

220000 Issued in CA

Legal business name

EL CAMINO SURGERY CENTER

Practice address

2480 Grant Rd
Mountain View, CA 94040-4300

Phone

(650) 961-1200

Fax

(650) 960-7041

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Cooper

Title

Executive Director

Phone

(650) 961-1200

Specialties & licenses 1

Addresses

Other identifiers 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• El Camino Hospital

  • General Acute Care Hospital
  • Los Gatos, CA
  • NPI 1417199340

  Member Of

  NPD member

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952466716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 GRANT RD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404300",
            "telephone_number": "650-961-1200",
            "fax_number": "650-960-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 GRANT RD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404300",
            "telephone_number": "650-961-1200",
            "fax_number": "650-960-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CAMINO SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "650-961-1200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "220000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE NUMBER",
            "identifier": "220000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SURO1212F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• El Camino Hospital Pharmacy
• El Camino Hospital-SNF
• El Camino Pathology Medical Group, Inc
• El Camino Radiologists Medical Group
• El Camino Renal Medical Group, Inc
• El Camino Urology Medical Group, Inc
• Yasmeen Elbanna
• Elements Health Center Inc
• Gabi Sloane Elfenbein, LMFT 39306
• Elisa Yao MD

• Ambulatory Surgical Clinic/Center in Mountain View, CA
• Providers in Mountain View, 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 22, 2020; 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.