BASCOM SURGERY CENTER – NPI #1437924669
Clinic/Center

BASCOM SURGERY CENTER is an AHC clinic located in CAMPBELL, CA. NPPES has assigned the NPI number 1437924669 to BASCOM SURGERY CENTER on November 17, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BASCOM SURGERY CENTER” is a dba name, the actual legal business name for this organization is SPINE SPORTS 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 previously updated about 2 years ago on May 09, 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 BASCOM SURGERY CENTER below.

NPI Profile for
SPINE SPORTS SURGERY CENTER, LLC

NPI Number
1437924669
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
SPINE SPORTS SURGERY CENTER, LLC
Doing Business As (dba): BASCOM SURGERY CENTER
Primary location
3803 S BASCOM AVE STE 106
CAMPBELL, CA 95008-7317
Phone: (408) 520-4295 Fax:
Mailing address
429 LLEWELLYN AVE
CAMPBELL, CA 95008-1948
Phone: (408) 378-6773 Fax:
Organization Subpart
No
Authorized Official
SHERMAN TRAN
OWNER/MANAGER
Phone: (408) 378-6773
Updated
Certification Date
May 09, 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.