FREMONT AMBULATORY SURGERY CENTER, L.P. (NPI# 1689905515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689905515 |
| Entity Type | Organization |
| Organization Name | FREMONT AMBULATORY SURGERY CENTER, L.P. |
| Practice Address |
39350 Civic Center Dr First Floor Fremont CA 94538-2343 |
| Practice Telephone | 5107934987 |
| Mailing Telephone | 5107934987 |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-15 |
| Authorized Official Name | MR. JOHN MAZOROS (MANAGING PARTNER) |
| Authorized Official Telephone | 5107934987 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
========= | CA | Ambulatory Health Care Facilities |
| Street Address |
39350 CIVIC CENTER DR FIRST FLOOR |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-2343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255531034 | Maureen Theresa Gatt | Psychologist | 39350 Civic Center Dr, Fremont, CA 94538-2343 | 2007-07-20 |
| 1043866494 | Hannah Joharchi | Psychologist | 39350 Civic Center Dr, Fremont, CA 94538-2343 | 2019-08-12 |
| 1679082531 | Tuyet Van Thi Nguyen | Physician Assistant | 39350 Civic Center Dr, Fremont, CA 94538-2343 | 2017-09-22 |
| 1982009759 | Cep America - Anesthesia PC | Anesthesiology | 39350 Civic Center Dr, Ste100, Fremont, CA 94538-2384 | 2014-10-23 |
| 1831591023 | Sarah Wanlin | Physical Therapist | 39350 Civic Center Dr, #300, Fremont, CA 94538-2331 | 2014-09-19 |
| 1346663069 | Rosalyn Fox | Nurse Practitioner | 39350 Civic Center Dr, Suite 260, Fremont, CA 94538-2343 | 2014-01-31 |
| 1285062257 | Aldrin Garrido Geronga | Nurse Practitioner | 39350 Civic Center Dr, Suite 260, Fremont, CA 94538-2343 | 2013-10-29 |
| 1851727275 | Debbie Lisa Brachman | Registered Nurse | 39350 Civic Center Dr, 300, Fremont, CA 94538-2343 | 2013-09-17 |
| 1972937837 | Ava M Novotny | Physician Assistant | 39350 Civic Center Dr, Suite # 300, Fremont, CA 94538-2331 | 2013-08-28 |
| 1750602694 | John Lin | Anesthesiology | 39350 Civic Center Dr, Fremont, CA 94538-2343 | 2010-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960536 | Lake George Surgery Center, LLC | Clinic/Center | 6245 N Old 27 Ste A10, Fremont, IN 46737-8707 | 2020-07-24 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| 1750828109 | Webster Surgery Center, Lp | Clinic/Center | 39180 Farwell Drive, Suite 100, Fremont, CA 94538 | 2017-01-24 |
| 1255793758 | Mission Surgery Center, Inc. | Clinic/Center | 38437 Mission Blvd, Suite 102, Fremont, CA 94536-4318 | 2016-03-23 |
| 1306241534 | Sutter Bay Medical Foundation | Clinic/Center | 3120 Kearney St, Fremont, CA 94538-2292 | 2014-10-30 |
| 1780996868 | Fremont Surgery Center North | Clinic/Center | 39472 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2010-07-06 |
| 1497996524 | Sutter Bay Medical Foundation | Clinic/Center | 3140 Kearney St, Fremont, CA 94538-2292 | 2009-03-19 |
| 1649489832 | Fremont Surgical Center, LLC | Clinic/Center | 840 E 29th Street, Fremont, NE 68025 | 2007-05-22 |
| 1437102241 | Surgery Center of Fremont, LLC | Clinic/Center | 2727 N Clarkson St, Fremont, NE 68025-7713 | 2006-05-19 |
| 1851369284 | Fremont Ambulatory Surgery Center, Lp | Clinic/Center | 39350 Civic Center Dr Suite 100, Fremont, CA 94538-2331 | 2006-03-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.