PARK PLACE AMBULATORY SURGERY CENTER – NPI #1386166205
Clinic/Center

PARK PLACE AMBULATORY SURGERY CENTER is an AHC clinic located in SAN RAMON, CA. NPPES has assigned the NPI number 1386166205 to PARK PLACE AMBULATORY SURGERY CENTER on July 12, 2017. 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 5 years ago on May 04, 2021. 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 PARK PLACE AMBULATORY SURGERY CENTER below.

NPI Profile for
PARK PLACE AMBULATORY SURGERY CENTER

NPI Number
1386166205
Enumeration Date

(about 9 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
PARK PLACE AMBULATORY SURGERY CENTER
Primary location
100 PARK PLACE, SUITE 100
SAN RAMON, CA 94583
Phone: (925) 413-0407 Fax:
Mailing address
100 PARK PL STE 100
SAN RAMON, CA 94583-2063
Phone: Fax:
Organization Subpart
No
Authorized Official
CINDY JAMES
ADMINISTRATOR
Phone: (925) 413-0407
Updated
Certification Date
May 04, 2021

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.