EXECUTIVE SURGERY CENTER, INC. – NPI #1952698078
Clinic/Center

EXECUTIVE SURGERY CENTER, INC. is an AHC clinic located in DANVILLE, CA. NPPES has assigned the NPI number 1952698078 to EXECUTIVE SURGERY CENTER, INC. on July 10, 2011. 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 14 years ago on Apr 20, 2012. 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 EXECUTIVE SURGERY CENTER, INC. below.

NPI Profile for
EXECUTIVE SURGERY CENTER, INC.

NPI Number
1952698078
Enumeration Date

(about 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
EXECUTIVE SURGERY CENTER, INC.
Primary location
1320 EL CAPITAN DR
SUITE 100
DANVILLE, CA 94526-6258
Phone: (925) 963-0759 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SALIM SHELBY
OWNER
Phone: (925) 963-0759
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 A69275

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.