AMBULATORY CARE SURGERY CENTER NPI 1639118029

NPI Information

NPI: 1639118029
Provider Name: AMBULATORY CARE SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
5225 KEARNY VILLA WAY
SAN DIEGO, CA
ZIP 92123
Phone: (858) 974-7200
Get Directions

AMBULATORY CARE SURGERY CENTER is an ambulatory surgical clinic center in San Diego, CA. AMBULATORY CARE SURGERY CENTER NPI is 1639118029. The provider is registered as an organization entity type.

The provider's business location address is:

5225 KEARNY VILLA WAY
SAN DIEGO, CA
ZIP 92123-410
Phone: (858) 974-7200
Fax: (858) 974-7245

The provider's authorized official is Caroline Baddour .
The authorized official title is Ceo and has the following contact phone number (858) 974-7200.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 10/18/2010.

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	080000458	CALIFORNIA	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	080000458	OTHER	CALIFORNIA	STATE OF CALIFORNIA LICEN
2	S051249	MEDICARE ID-TYPE UNSPECIFIED

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

NPI Synchronization or Removal

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