Organization Active NPI

Waterman Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • Fairfield, CA
National Provider Identifier
1972740611
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WATERMAN SURGERY CENTER INC
Practice address
2801 Waterman Blvd
Ste 200
Fairfield, CA 94534-2987
Phone
(707) 428-3687
Fax
(707) 422-4327
NPI assigned
Jan 16, 2009
Last updated
Jan 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Dr. William Tsun Huei Chen, MDNPI 1780777292
Title
President
Phone
(707) 428-3687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

2801 Waterman Blvd
Ste 200
Fairfield, CA 94534-2987

Mailing address

2801 Waterman Blvd
Ste 200
Fairfield, CA 94534-2987
Phone (707) 428-3687

National Provider Directory

National Provider Directory

Locations

2801 Waterman Blvd
Ste 200
Fairfield, CA 94534
Phone (707) 428-3687

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1972740611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 WATERMAN BLVD",
            "address_2": "STE 200",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945342987",
            "telephone_number": "707-428-3687",
            "fax_number": "707-422-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 WATERMAN BLVD",
            "address_2": "STE 200",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945342987",
            "telephone_number": "707-428-3687",
            "fax_number": "707-422-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERMAN SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TSUN HUEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-428-3687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.