BERKELEY SURGERY CENTER – NPI #1043060403
Clinic/Center

BERKELEY SURGERY CENTER is an AHC clinic located in BERKELEY, CA. NPPES has assigned the NPI number 1043060403 to BERKELEY SURGERY CENTER on March 26, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BERKELEY SURGERY CENTER” is a dba name, the actual legal business name for this organization is BAYHEALTH BERKELEY SURGERY CENTER, LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Jun 12, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BERKELEY SURGERY CENTER below.

NPI Profile for
BAYHEALTH BERKELEY SURGERY CENTER, LLC

NPI Number
1043060403
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BAYHEALTH BERKELEY SURGERY CENTER, LLC
Doing Business As (dba): BERKELEY SURGERY CENTER
Primary location
3100 SAN PABLO AVE STE 180B
BERKELEY, CA 94702-2498
Phone: (530) 848-3566 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KELLY MATHER
CHIEF EXECUTIVE OFFICER
Phone: (707) 349-4012
Updated
Certification Date
Jun 12, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.