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PHYSICIANS SURGERY SERVICES LP NPI 1508942996


NPI Information

NPI: 1508942996
Provider Name: PHYSICIANS SURGERY SERVICES LP

Doing Business As: ADVANCED SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D1055387

Address:
235 OCONNOR DR
SAN JOSE, CA
ZIP 95128
Phone: (408) 279-0791
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PHYSICIANS SURGERY SERVICES LP is an ambulatory surgical clinic center in San Jose, CA. PHYSICIANS SURGERY SERVICES LP NPI is 1508942996. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Surgery Center.

The provider's business location address is:

235 OCONNOR DR
SAN JOSE, CA
ZIP 95128-624
Phone: (408) 279-0791
Fax: (408) 279-0797

The provider's authorized official is Tracey K Phan .
The authorized official title is Administrative Director and has the following contact phone number (408) 293-4211.

The CLIA number assigned to this NPI record is 05D1055387 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 8/3/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical550000041CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SUR01723FMEDICAIDCALIFORNIA
205C0001723MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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