Lassen Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LASSEN SURGERY CENTER

Practice address

103 Fair Dr
Susanville, CA 96130

Phone

(530) 257-7773

Fax

(530) 257-2939

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Indra Uppal, M.D., F.A.C.O.G., F.

Title

Administrator

Phone

(503) 257-7773

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1962543710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1150",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "96130",
            "telephone_number": "530-257-7773",
            "fax_number": "530-257-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 FAIR DR",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "96130",
            "telephone_number": "530-257-7773",
            "fax_number": "530-257-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASSEN SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "UPPAL",
        "authorized_official_first_name": "INDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-257-7773",
        "authorized_official_credential": "M.D., F.A.C.O.G., F."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lassen Family Services, Inc.
• Lassen Indian Health Center (Lassen Indian Health Center Pharmacy)
• Lassen Indian Health Center (Susanville Indian Rancheria)
• Lassen Intervention, LLC (Lassen Intervention)
• Lassen Medical Center
• Jenny R Lemmon, BSN PHN
• Robert Leo, D.D.S.
• Trinity Leslie
• Michelle Lesowski, PSY.D.
• Ann Marcine Leve, RDH

• Ambulatory Surgical Clinic/Center in Susanville, CA
• Providers in Susanville, 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 Sep 11, 2009; 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.