Organization Active NPI

Hemet Healthcare Surgicenter, Inc.

  • Ambulatory Surgical Clinic/Center
  • Hemet, CA
National Provider Identifier
1982674065
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
HEMET HEALTHCARE SURGICENTER, INC.
Practice address
301 N San Jacinto St
Ste B
Hemet, CA 92543-3113
Phone
(951) 765-1717
Fax
(951) 765-1716
NPI assigned
Jan 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Kali P. Chaudhuri, MDNPI 1538179437
Title
President
Phone
(951) 782-8812

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 Primary

Addresses

Primary practice location

301 N San Jacinto St
Ste B
Hemet, CA 92543-3113

Mailing address

301 N San Jacinto St
Ste B
Hemet, CA 92543-3113
Phone (951) 765-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051212000820 CA Part B Supplier - Ambulatory Surgical Center 6800817388 Practice locations: Hemet, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Hemet Healthcare Surgicenter IncCCN 05C0001254
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0870930Hemet Healthcare Surgicenter301 N San Jacinto Suite 101, Hemet, CA 92543Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

301 N San Jacinto St
Ste 1B
Hemet, CA 92543
Phone (909) 765-1717

301 N San Jacinto St
Ste 101
Hemet, CA 92543
Phone (951) 652-2811

301 N San Jacinto St
#101
Hemet, CA 92543

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1982674065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N SAN JACINTO ST",
            "address_2": "STE B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433113",
            "telephone_number": "951-765-1717",
            "fax_number": "951-765-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N SAN JACINTO ST",
            "address_2": "STE B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433113",
            "telephone_number": "951-765-1717",
            "fax_number": "951-765-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMET HEALTHCARE SURGICENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "CHAUDHURI",
        "authorized_official_first_name": "KALI",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-782-8812",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.