ELITE SURGICAL SERVICES – NPI #1487042859
Clinic/Center

ELITE SURGICAL SERVICES is an AHC clinic located in FREMONT, CA. NPPES has assigned the NPI number 1487042859 to ELITE SURGICAL SERVICES on January 07, 2015. 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 11 years ago on May 22, 2015. 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 ELITE SURGICAL SERVICES below.

NPI Profile for
ELITE SURGICAL SERVICES

NPI Number
1487042859
Enumeration Date

(more than 11 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
ELITE SURGICAL SERVICES
Primary location
1860 MOWRY AVE
STE.#401
FREMONT, CA 94538-1730
Phone: (510) 556-1000 Fax: (510) 878-4444
Mailing address
19197 GOLDEN VALLEY RD
ST.#444
CANYON COUNTRY, CA 91387-1428
Phone: (510) 556-1000 Fax:
Organization Subpart
No
Authorized Official
NOSRAT KHAJAVI
PRESIDENT/ SOLE OWNER
Phone: (510) 556-1000
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)		 CA

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.