FREMONT AMBULATORY SURGERY CENTER LP NPI 1851369284

NPI Information

  • NPI: 1851369284
  • Provider Name: FREMONT AMBULATORY SURGERY CENTER, LP
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 39350 CIVIC CENTER DR SUITE 100
    FREMONT, CA
    ZIP 94538
  • Phone: (510) 456-4600

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NPI Details

FREMONT AMBULATORY SURGERY CENTER, LP is an ambulatory surgical clinic center in Fremont, CA. FREMONT AMBULATORY SURGERY CENTER, LP NPI is 1851369284. The provider is registered as an organization entity type.

The provider's business location address is:

39350 CIVIC CENTER DR SUITE 100
FREMONT, CA
ZIP 94538-331
Phone: (510) 456-4600
Fax: (510) 794-6822

The provider's authorized official is John Mazoros .
The authorized official title is Administrator and has the following contact phone number (510) 456-4650.

The enumeration date for this NPI number is 3/10/2006 and was last updated on 11/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical140000600CALIFORNIANo
2261QA1903XClinic/CenterAmbulatory Surgical140000527CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1SUR51053FMEDICAIDCALIFORNIA
2ZZZ13442ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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