Provider Demographics
NPI:1003015843
Name:NORTHBAY PHYSICIAN'S SURGERY CENTER, L.L.C.
Entity Type:Organization
Organization Name:NORTHBAY PHYSICIAN'S SURGERY CENTER, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:ZOPFI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:707-399-6287
Mailing Address - Street 1:1006 NUT TREE ROAD
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687
Mailing Address - Country:US
Mailing Address - Phone:707-446-2800
Mailing Address - Fax:707-446-9700
Practice Address - Street 1:1006 NUT TREE ROAD
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687
Practice Address - Country:US
Practice Address - Phone:707-446-2800
Practice Address - Fax:707-426-9700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical