EAST BAY AMBULATORY SURGERY CENTER LLC – NPI #1700175189
Clinic/Center

EAST BAY AMBULATORY SURGERY CENTER LLC is an AHC clinic located in FREMONT, CA. NPPES has assigned the NPI number 1700175189 to EAST BAY AMBULATORY SURGERY CENTER LLC on April 06, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 EAST BAY AMBULATORY SURGERY CENTER LLC below.

NPI Profile for
EAST BAY AMBULATORY SURGERY CENTER LLC

NPI Number
1700175189
Enumeration Date

(more than 15 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
EAST BAY AMBULATORY SURGERY CENTER LLC
Primary location
1860 MOWRY AVE
STE 401 & 402
FREMONT, CA 94538-1730
Phone: (424) 249-3783 Fax:
Mailing address
9190 W OLYMPIC BLVD
STE 139
BEVERLY HILLS, CA 90212-3540
Phone: (414) 249-3783 Fax:
Organization Subpart
No
Authorized Official
CAROL CASTILLO
ADMINISTRATOR
Phone: (424) 249-3783
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 A84519
173000000X
- Legal Medicine		 CA A84519

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.