BROCKTON SURGICAL CENTER – NPI #1285735936
Clinic/Center

BROCKTON SURGICAL CENTER is an AHC clinic located in RIVERSIDE, CA. NPPES has assigned the NPI number 1285735936 to BROCKTON SURGICAL CENTER on September 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 previously updated about 18 years ago on Dec 11, 2007. 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 BROCKTON SURGICAL CENTER below.

NPI Profile for
BROCKTON SURGICAL CENTER

NPI Number
1285735936
Enumeration Date

(more than 19 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
BROCKTON SURGICAL CENTER
Primary location
5905 BROCKTON AVENUE
SUITE B
RIVERSIDE, CA 92506
Phone: (951) 686-5373 Fax: (951) 781-3661
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DONALD VOGT
ADMINISTRATOR
Phone: (951) 686-5373
Updated
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.