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FREMONT ASC PARTNERS LLC NPI 1548551377


NPI Information

NPI: 1548551377
Provider Name: FREMONT ASC PARTNERS, LLC

Doing Business As: STEVENSON SURGERY CENTER

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

Specialization: Ambulatory Surgical

CLIA Number: 05D2029379

Address:
2675 STEVENSON BLVD
SECOND FLOOR
FREMONT, CA
ZIP 94538
Phone: (510) 791-5200
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FREMONT ASC PARTNERS, LLC is an ambulatory surgical clinic center in Fremont, CA. FREMONT ASC PARTNERS, LLC NPI is 1548551377. The provider is registered as an organization entity type.
The provider Is Doing Business As Stevenson Surgery Center.

The provider's business location address is:

2675 STEVENSON BLVD
SECOND FLOOR
FREMONT, CA
ZIP 94538-317
Phone: (510) 791-5200
Fax: (510) 791-5201

The provider's authorized official is Mohammad Gharaati .
The authorized official title is Administrator and has the following contact phone number (510) 791-5200.

The CLIA number assigned to this NPI record is 05D2029379 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2011 and was last updated on 11/19/2012.


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 SurgicalYes

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
195304OTHERCALIFORNIAAAAHC CERTIFICATION
2F1984OTHERCALIFORNIAMEDICARE PTAN
305-C0001984MEDICARE UPINCALIFORNIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.