EAST BAY MEDICAL SURGICAL CENTER LP NPI 1538104831

NPI Information

NPI: 1538104831
Provider Name: EAST BAY MEDICAL SURGICAL CENTER LP
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
20998 REDWOOD RD
CASTRO VALLEY, CA
ZIP 94546
Phone: (510) 538-2828
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EAST BAY MEDICAL SURGICAL CENTER LP is an ambulatory surgical clinic center in Castro Valley, CA. EAST BAY MEDICAL SURGICAL CENTER LP NPI is 1538104831. The provider is registered as an organization entity type.

The provider's business location address is:

20998 REDWOOD RD
CASTRO VALLEY, CA
ZIP 94546-918
Phone: (510) 538-2828

The provider's authorized official is Richard L Sharff .
The authorized official title is Vp/secretary and has the following contact phone number (205) 545-2572.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 6/1/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	551085	MEDICARE PIN	CALIFORNIA

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: 5/5/2024

NPI Synchronization or Removal

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