Active NPI
Surgical Interventions LLC
- Ambulatory Surgical Clinic/Center
- San Leandro, CA
National Provider Identifier
1992529705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SURGICAL INTERVENTIONS LLC
- Practice address
- 13851 E 14TH St Ste 202
San Leandro, CA 94578-2627 - Phone
- (510) 357-4006
- NPI assigned
- Nov 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael David Ingegno, MD
- Title
- MBR
- Phone
- (510) 599-7750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
13851 E 14TH St Ste 202
San Leandro, CA 94578-2627
Mailing address
13851 E 14TH St Ste 202
San Leandro, CA 94578-2627
Phone (510) 357-4006
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2332126 | Surgical Interventions LLC | Certificate of waiver | Oct 13, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731283200000",
"number": "1992529705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13851 E 14TH ST STE 202",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945782627",
"telephone_number": "510-357-4006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13851 E 14TH ST STE 202",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945782627",
"telephone_number": "510-357-4006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL INTERVENTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-09",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A",
"authorized_official_last_name": "INGEGNO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "MBR",
"authorized_official_telephone_number": "510-599-7750",
"authorized_official_name_prefix": "Dr.",
"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 San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.