CALIFORNIA STREET OUTPATIENT SURGERY CENTER, LLC – NPI #1598158487
Clinic/Center

CALIFORNIA STREET OUTPATIENT SURGERY CENTER, LLC is an AHC clinic located in STOCKTON, CA. NPPES has assigned the NPI number 1598158487 to CALIFORNIA STREET OUTPATIENT SURGERY CENTER, LLC on March 17, 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

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 CALIFORNIA STREET OUTPATIENT SURGERY CENTER, LLC below.

NPI Profile for
CALIFORNIA STREET OUTPATIENT SURGERY CENTER, LLC

NPI Number
1598158487
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
CALIFORNIA STREET OUTPATIENT SURGERY CENTER, LLC
Primary location
1805 N CALIFORNIA ST
SUITE 405
STOCKTON, CA 95204-6037
Phone: (209) 870-7100 Fax: (209) 870-7116
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOSEPH BURLIN
PRESIENT
Phone: (209) 870-7100
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 1479

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.