PREMIER SURGICENTER LLC (NPI# 1306137542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306137542 |
| Entity Type | Organization |
| Organization Name | PREMIER SURGICENTER LLC |
| Other Organization Name | PREMIER SURGICENTER |
| Practice Address |
39180 Farwell Dr Suite 105 Fremont CA 94538-1052 |
| Practice Telephone | 5104940800 |
| Practice Fax Number | 5104940804 |
| Mailing Telephone | 5104940800 |
| Mailing Fax Number | 5104940804 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |
| Authorized Official Name | DR. BASIL BESH (MANAGING CONTROL) |
| Authorized Official Telephone | 5104940800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PREMIER SURGICENTER | Doing Business As Name - Organization |
| Street Address |
39180 FARWELL DR SUITE 105 |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-1052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497771901 | Sport Clinic Inc | Physical Therapist | 39180 Farwell Dr, Suite 101, Fremont, CA 94538-1052 | 2006-07-15 |
| 1063021467 | Huayi Medical Professional Corporation | Anesthesiology | 39180 Farwell Dr, Fremont, CA 94538-1000 | 2020-07-31 |
| 1366937807 | Kevin Ngai Ming Yeung | Occupational Therapist | 39180 Farwell Dr, Fremont, CA 94538-1000 | 2018-06-27 |
| 1497296669 | Diana Fitts | Occupational Therapist | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1000 | 2017-03-20 |
| 1730623661 | Kelly Trautman | Occupational Therapist | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1000 | 2016-12-12 |
| 1568837532 | Jason Lagmay Prestosa | Physical Therapist | 39180 Farwell Dr, Suite 101, Fremont, CA 94538-1000 | 2015-12-02 |
| 1952780652 | Benjamin Weizer Chang | Nurse Practitioner | 39180 Farwell Dr, Fremont, CA 94538-1000 | 2015-05-27 |
| 1790194785 | Michelle Jay | Physical Therapist | 39180 Farwell Dr, Suite 231, Fremont, CA 94538-1000 | 2014-08-05 |
| 1932517117 | Deanna M Descamp | Occupational Therapist | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1000 | 2014-07-31 |
| 1356758619 | Joshua Ramos | Occupational Therapist | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1000 | 2014-07-18 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in FREMONT | ||||
Please comment or provide details below to improve the information on PREMIER SURGICENTER LLC.
| 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.